157203451-9-15-2022-24-AS-MHON-CJBP98-20220916110643

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157203451
Report Date: 09/15/2022
Date Signed: 09/15/2022 10:32:14 AM

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
08/09/2022 and conducted by Evaluator Alexandria Walton

COMPLAINT CONTROL NUMBER: 24-AS-20220809085124

FACILITY NAME:	MEADOW RISE FACILITY		FACILITY NUMBER:	157203451
ADMINISTRATOR:	BERNALES, AMABELLE		FACILITY TYPE:	735
ADDRESS:	624 MEADOW RISE COURT		TELEPHONE:	(661) 399-2655
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93308
CAPACITY:	5	CENSUS:	DATE:	09/15/2022
		UNANNOUNCED	TIME BEGAN:	09:46 AM
MET WITH:	Caregiver, Romeo Valero		TIME COMPLETED:	10:47 AM

ALLEGATION(S):

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Resident was sexually abuse in care

INVESTIGATION FINDINGS:

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On 09/15/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA contacted Administrator via telephone. Administrator is unable to meet with LPA. LPA received verbal permission to meet with Caregiver, Romeo Valero.

Based on interviews conducted, the allegation: Resident was sexually abuse in care is UNSUBSTANTIATED. 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.

Exit interview conducted. A copy of this report was discussed and provided to, Caregiver, Romeo Valero, whose signature on this form confirms receipt of this document.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

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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