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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209444
Report Date: 06/18/2025
Date Signed: 06/18/2025 04:51:40 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/12/2025 and conducted by Evaluator Rachel A Bruce
COMPLAINT CONTROL NUMBER: 24-AS-20250612091942
FACILITY NAME:HELPING HANDS SENIOR CAREFACILITY NUMBER:
107209444
ADMINISTRATOR:NGUYEN, ELSAFACILITY TYPE:
740
ADDRESS:825 S WILLOW AVENUETELEPHONE:
(650) 776-2280
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:30CENSUS: 8DATE:
06/18/2025
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Kiran Chehal, AdministratorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff are mishandling the residents medications
INVESTIGATION FINDINGS:
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On June 18, 2025, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced inspection visit to the above facility for the purpose of investicating, interviewing and delivering findigs on the above allegation.

The allegation of mishandling medication was in relation to proper storage. Inspection and investigation revealed that although the medications were locked away, however the lock still allowed access.

Investigation revealed the preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, a deficiency is being cited on the attached 9099-D.

An exit interview was conducted and a copy of this report along with appeal rights and plans of correction were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 24-AS-20250612091942
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: HELPING HANDS SENIOR CARE
FACILITY NUMBER: 107209444
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/25/2025
Section Cited
CCR
80075(k)(1)
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80075(k)(1) - Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
This requirement was not met as evidenced by
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Facility will store medication centrally in the office until appropriate locks can be purchased and installed. Proof by picture will be send to CCL by the due date of June 25, 2025.
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Medication is currently stored in locked cabinet in each kitchen area however the lock is not serving its intended purpose and medication is accessible.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/12/2025 and conducted by Evaluator Rachel A Bruce
COMPLAINT CONTROL NUMBER: 24-AS-20250612091942

FACILITY NAME:HELPING HANDS SENIOR CAREFACILITY NUMBER:
107209444
ADMINISTRATOR:NGUYEN, ELSAFACILITY TYPE:
740
ADDRESS:825 S WILLOW AVENUETELEPHONE:
(650) 776-2280
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:30CENSUS: 8DATE:
06/18/2025
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Kiran Chehal, AdministratorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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3
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9
Unqualified staff are administering the residents medications
INVESTIGATION FINDINGS:
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On June 18, 2025, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced visit to the above facility to conduct an investigation and deliver findings for the above allegation. LPA met with Administrator Kiran Chehal who provided medical documentation and distribution records for prescriptions.

The allegation is that unqualified staff distributed medication - (specifically controlled medication related to hospice) and were not qualified to do so. Investigation revealed that there are no injection medications provided at this time and should that change the staff are aware that a qualified person will be needed to administer.

Based on the investigation it was determined that the above allegation that unqualified staff is distributing medication is UNFOUNDED and CCL has therefore dismissed the complaint.

An exit interview was conducted a copy of the report provided to the Administrator.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3