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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157200413
Report Date: 01/23/2025
Date Signed: 01/23/2025 03:24:16 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
01/17/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250117095155
FACILITY NAME:RIVERSIDE RANCH, ASC TREATMENT GROUPFACILITY NUMBER:
157200413
ADMINISTRATOR:VARGAS, LAURAFACILITY TYPE:
735
ADDRESS:18200 HIGHWAY 178TELEPHONE:
(661) 871-9697
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:51CENSUS: 48DATE:
01/23/2025
UNANNOUNCEDTIME BEGAN:
12:39 PM
MET WITH:Administrator Laura VargasTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff threaten residents
There is not enough food to meet the needs of the residents
Staff are stealing from residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst LPA Shawna Doucette arrived at the facility unannounced to open a 10 day compliant. LPA met with Assistant Administrator Brian Nelson and Administrator Laura Vargas.

LPA interviewed staff and residents. LPA toured the kitchen. LPA observed lunch provided which was rice, beans salad and taquitos. LPA obtaineed a copy of the menu for the month of January 2025.

Based on interviews of staff and residents, it is undetermined if there was a time staff threatened residents.

Based on interviews of staff and residents and records revieiw, facility is providing 3 meals and three snacks a day. It is undeterrmined whether or not there was a time residents did not receive enough food to meet their needs.

Based on interviews, it was not found that staff are stealing from residents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
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 2
Control Number 24-AS-20250117095155
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: RIVERSIDE RANCH, ASC TREATMENT GROUP
FACILITY NUMBER: 157200413
VISIT DATE: 01/23/2025
NARRATIVE
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Based on record reviews and interviews, Although the allegations 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 allegations are UNSUBSTANTIATED.

A copy of this report was provided.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2