150405408-1-8-2024-24-AS-SPIY-CZMMBC-20240119082744

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 150405408
Report Date: 01/08/2024
Date Signed: 01/08/2024 02:34:57 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/30/2023 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20231030091430

FACILITY NAME:	MCCLELLAN BOARD & CARE FACILITY		FACILITY NUMBER:	150405408
ADMINISTRATOR:	GALICIA,RUDOLPHO		FACILITY TYPE:	735
ADDRESS:	4104 MILO STREET		TELEPHONE:	(661) 834-5901
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	6	CENSUS: 4	DATE:	01/08/2024
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Lead Staff Yolanda Bravo		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff do not provide adequate food service.
Staff forces residents to participate in religious practices.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Shawna Doucette conducted an unannounced complaint visit to deliver findings and was granted entry by Staff Yolanda Bravo. LPA discussed the purpose of the visit. Staff Yolanda Bravo contacted Administrator Rudolpho Galacia who gave permission for staff to sign for this report.

LPA interviewed Staff and Clients. LPA observed sufficient food. After conducting interviews it was found clients are provided food when hungry and clients are not forced to participate in religious practices.

Based on interviews, it is undetermined whether or not staff do not have adequate food service and if staff force residents to participate in religious practices. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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