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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157200810
Report Date: 09/22/2023
Date Signed: 09/22/2023 01:47:03 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
06/15/2023 and conducted by Evaluator Melinda Medina
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20230615081157
FACILITY NAME:SEAVIEW HOMEFACILITY NUMBER:
157200810
ADMINISTRATOR:TIMBREZA, JHOSANFACILITY TYPE:
735
ADDRESS:3000 SEAVIEW DRIVETELEPHONE:
(661) 588-5180
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:4CENSUS: 4DATE:
09/22/2023
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Ofelia NebridaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Client consumed illegal drugs on the premises
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/22/23, Licensing Program Analyst (LPA) M. Medina conducted a subsequent complaint visit to deliver findings to complaint. LPA met with Ofelia Nebrida, Administrator to deliver findings.

This Department investigated the complaint allegation, during the course of the investigation, records were reviewed and interviews were conducted. Based on interviews and records reviewed there is not a a preponderance of evidence to prove or disprove the allegation occurred therefore the allegation is UNSUBSTANTIATED.

No deficiencies cited. Exit interview conducted with Administrator and a copy provided for facility records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
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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