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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157200749
Report Date: 05/31/2024
Date Signed: 06/03/2024 08:48:20 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 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
04/11/2024 and conducted by Evaluator Brianna Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20240411154822
FACILITY NAME:MERCIE'S DAY PROGRAMFACILITY NUMBER:
157200749
ADMINISTRATOR:DE CLARO, GERALDFACILITY TYPE:
775
ADDRESS:2700 K STREETTELEPHONE:
(661) 323-5585
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY:49CENSUS: 43DATE:
05/31/2024
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Program Manager Calvin SheppardTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff made inappropriate comments towards resident
INVESTIGATION FINDINGS:
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On 5/31/24 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to deliver the finding for the allegation(s) listed above. LPA introduced herself and explained the reason for the visit, and met with Program Manager Calvin Sheppard.
1. The Department investigated the allegation: Staff made inappropriate comments towards resident. On 4/12/24 LPA conducted various interviews with staff at the facility. During the interviews it was stated there was an inappropriate comment made to a client at the facility. Staff stated the comment was something that should not have been said to the client. Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter 6, are being cited on the attached LIC 9099D.
Exit interview was conducted and a copy of this report LIC9099 , LIC9099D, and appeal rights were provided to Program Manager Calvin Sheppard.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
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-20240411154822
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: MERCIE'S DAY PROGRAM
FACILITY NUMBER: 157200749
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2024
Section Cited
CCR
82072(a)(1)
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82072 Personal Rights
(a) Each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement is not met as evidenced by:
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Training was previously conducted after complaint was opened. Verification of training will be provided to LPA by 6/7/24
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Based on observation & interviews the licensee failed to keep staff from making inappropriate comments to clients at the facility. This poses a potential health, safety, or personal rights risk to residents in care.
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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: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2