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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157203376
Report Date: 08/04/2022
Date Signed: 08/04/2022 12:26:24 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
07/01/2022 and conducted by Evaluator Alexandria Walton
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20220701093027
FACILITY NAME:ABLE CARE HOMES 1FACILITY NUMBER:
157203376
ADMINISTRATOR:ZAPATA, BARBARAFACILITY TYPE:
740
ADDRESS:10005 COBBLESTONE AVENUETELEPHONE:
(661) 858-0385
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:6CENSUS: 6DATE:
08/04/2022
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Administrator, Barbara ZapataTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Licensee is in financial distress
Medications are being mismanaged
Facility supplies are insufficient to meet resident needs
INVESTIGATION FINDINGS:
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On 08/04/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a subsequent complaint investigation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Facility staff contacted Administrator, Barbara Zapata. Administrator arrived a short time later.

During today's inspection, LPA checked resident medications and facility supplies. Medications appeared to be administered as prescribed. Facility had a sufficient supply of cleaning supplies, PPE, food and hygiene products. LPA reviewed facility records and did not observe the facility to be in financial distress.

Based on observation, record review, and staff interviews the allegations: Licensee is in financial distress; Medications are being mismanaged; Facility supplies are insufficient to meet resident needs are found to be UNSUBSTANTIATED. CONTINUED TO 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
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-20220701093027
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: ABLE CARE HOMES 1
FACILITY NUMBER: 157203376
VISIT DATE: 08/04/2022
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies issued during this inspection.

An exit interview was conducted with Administrator. A copy of this report was discussed and provided to Administrator, Barbara Zapata, whose signature on this form confirms receipt of this document.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2