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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157202539
Report Date: 11/10/2025
Date Signed: 11/10/2025 03:04:45 PM

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
11/05/2025 and conducted by Evaluator Mai Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20251105173938
FACILITY NAME:POSITIVE PURPOSE, LLCFACILITY NUMBER:
157202539
ADMINISTRATOR:TAMERLA PRINCEFACILITY TYPE:
735
ADDRESS:9008 STATEN ISLAND DRIVETELEPHONE:
(661) 847-9200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:4CENSUS: 4DATE:
11/10/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Licensee Tamerla Prince and staff Aiden StilesTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not administer medication as prescribed.
INVESTIGATION FINDINGS:
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On 11/10/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint
investigation. LPA introduced self, stated the purpose of the visit, and met with staff Aiden Stiles who stated Administrator was unavailable to attend meeting. Licensee Tamerla Prince was called and arrived shortly. Licensee left during complaint visit and authorized staff to sign and receive report. LPA delivered complaint findings to staff.

During the course of the investigation, all clients’ medications were audit and all clients’ MARs were reviewed.
C1’s medication Atorvastatin 10mg was administered daily at 08:00PM and not record in C1’s MARs. C2’s Clotrimazole was not administered for the month of October 2025 and November 2025 as prescribed. C2 has not been administered Clotrimazole. Based on interviews conducted, observation, and records reviewed, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBTANTIATED. A copy of this report and appeal rights was provided to the staff, whose signature on this form confirms receipt of this report.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
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 3
Control Number 24-AS-20251105173938
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: POSITIVE PURPOSE, LLC
FACILITY NUMBER: 157202539
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/11/2025
Section Cited
CCR
80075(b)(5)(B)
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80075 (b)(5)(B) Once ordered by the physician the medication is given according to the physician's directions.

This requirement is not met as evidenced by:
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Licensee shall submit a written statement of steps the facility will take to ensure facility meets the regulation to Fresno CCL office by POC due date 11/11/25.


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Based on observation and records reviewed, C1’s medication Atorvastatin 10mg was administered daily at 08:00PM and not record in C1’s MARs. C2’s Clotrimazole instructed to apply medication to affected area in the morning and evening was not administered for the month of October 2025 and November 2025 as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.
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Licensee shall have all staff in-service retraining on administering medications and documentation. Licensee will submit documentation of training topics with staff attendance rooster to the Fresno CCL office by 11/21/25.
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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: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
11/05/2025 and conducted by Evaluator Mai Yang
COMPLAINT CONTROL NUMBER: 24-AS-20251105173938

FACILITY NAME:POSITIVE PURPOSE, LLCFACILITY NUMBER:
157202539
ADMINISTRATOR:TAMERLA PRINCEFACILITY TYPE:
735
ADDRESS:9008 STATEN ISLAND DRIVETELEPHONE:
(661) 847-9200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:4CENSUS: 4DATE:
11/10/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Administrator Amber ZaragozaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not ensure that an adequate amount of food is stored in the facility.
Staff are not giving residents their P&I funds.
Staff did not ensure that the facility is kept clean.
INVESTIGATION FINDINGS:
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On 11/10/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint
investigation. LPA introduced self, stated the purpose of the visit, and met with staff Aiden Stiles who stated Administrator was unavailable to attend meeting. Licensee Tamerla Prince was called and arrived shortly. Licensee left during complaint visit and authorized staff to sign and receive report. LPA delivered complaint findings to staff.

During the course of the investigation, LPA conducted interviews, toured the facility, and reviewed records.
Adequate nonperishable and perishable food supplies were observed. All clients P & I were checked and audit to be accounted for and found to be accurate. Facility gives clients’ P &I when requested for. Facility was observed clean and free of obstruction.Based on interviews conducted, observation, and records reviewed the preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBTANTIATED. An exit interview was conducted. A copy of this report was provided to the staff, whose signature on this form confirms receipt of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3