<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157200963
Report Date: 04/29/2025
Date Signed: 04/29/2025 11:30:18 AM

Unsubstantiated


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
03/06/2025 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20250306124021
FACILITY NAME:KERN ADULT PROGRAM, INC.FACILITY NUMBER:
157200963
ADMINISTRATOR:NORIEGA, JOHNFACILITY TYPE:
775
ADDRESS:2900 EYE ST.TELEPHONE:
(661) 323-4700
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY:120CENSUS: 90DATE:
04/29/2025
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Administrator, John NoriegaTIME COMPLETED:
11:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff do not ensure restrooms for clients are in good clean condition
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/29/2025 Licensing Program Analyst (LPA) M. Garza arrived to complete a complaint visit. LPA met with Administrator, John Noriega, explained reason for visit and was permitted entry into the facility. LPA completed a tour of the facility and a health and safety check on clients in care.

During visit on 3/7/2025 facility was toured, copies of LIC 500 (Personnel Record), LIC 9020 (Register of Facility Clients/Residents), employee contact information and pictures were taken. During todays visit LPA completed a tour of the facility,gathered documentation (resident roster, staff schedule, configuation list, identification for staff, cleaning schedule, job descriptions and reviewed resident and staff files, took pictures and completed interviews. During both visits, LPAs observed restooms in building A and B to be clean. Maintenance schedule shows during program restrooms are being cleaned and staff complete cleaning at the end of every day. Although this allegation may or may not have occurred it does not meet the preponderance of evidence standard per Titile 22. The allegation listed above is UNSUBSTANTIATED. No deficiency cited during todays visit.

Exit interview completed with Administrator, John. A copy of this report, deficiencies and appeal rights provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
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 1