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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157203990
Report Date: 06/05/2024
Date Signed: 06/06/2024 07:20:45 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
05/29/2024 and conducted by Evaluator Melinda Medina
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20240529163749
FACILITY NAME:ALLISON MORGAN RESIDENCEFACILITY NUMBER:
157203990
ADMINISTRATOR:ALLISON, KEVINFACILITY TYPE:
735
ADDRESS:7308 STELLA COURTTELEPHONE:
(661) 679-4946
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:3CENSUS: 3DATE:
06/05/2024
UNANNOUNCEDTIME BEGAN:
02:19 PM
MET WITH:Juanita KeetonTIME COMPLETED:
03:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff verbally abuse resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/05/2024, Licensing Program Analyst (LPA) M. Medina arrived unannounced to commence a complaint investigation. LPA introduced self, stated the purpose of the visit and allowed entrance by DSP, Juanita Keeton. LPA Medina spoke with Licensee Tori Morgan via telephone to advise of complaint.

During the investigation, LPA conducted in person and telephone interviews. Based on interviews the allegation of staff verbally abuse resident is UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies issued. Exit interview conducted. The findings of the complaint were discussed with licensee, and a copy of this report was provided to DSP, whose signature on this form confirms receipt of this document.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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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