157202789-6-27-2023-24-AS-MHON-CV7UY2-20230830155912

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157202789
Report Date: 06/27/2023
Date Signed: 06/27/2023 02:27:19 PM

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
03/03/2023 and conducted by Evaluator Malia Thao

COMPLAINT CONTROL NUMBER: 24-AS-20230303162603

FACILITY NAME:	SVS BAKERSFIELD ADULT DAY PROGRAM		FACILITY NUMBER:	157202789
ADMINISTRATOR:	MENDEZ, CINTHYA GONZALEZ		FACILITY TYPE:	775
ADDRESS:	3601 UNION AVE		TELEPHONE:	(661) 323-0533
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93305
CAPACITY:	90	CENSUS: 43	DATE:	06/27/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Latisha Albritton, Regional Director (Acting Administrator)		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff refusing to let Authorized Representative into facility.
Staff yelled at Authorized Representative while client was present.

INVESTIGATION FINDINGS:

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On 6/27/23 at 9:00 AM, Licensing Program Analyst (LPA) Malia Thao conducted a complaint inspection. LPA explained reason for inspection and was granted entry. Regional Director (Acting Administrator) Latisha Albritton (ADM) arrived a short time later.

LPA reviewed records and conducted interviews. Based on records review and interviews, LPA found that there was not sufficient evidence to show that staff refused to let authorized representative into the facility or that staff yelled at authorized representative while client was present. Therefore, the above allegations are unsubstantiated.

Exit interview conducted and a copy of this report was given to Regional Director Latisha Albritton, whose signature confirms receipt of this report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023

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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