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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157204220
Report Date: 12/28/2022
Date Signed: 12/28/2022 09:48:26 AM

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
08/23/2022 and conducted by Evaluator Malia Thao
COMPLAINT CONTROL NUMBER: 24-AS-20220823160646
FACILITY NAME:CELINE'S VILLA 2FACILITY NUMBER:
157204220
ADMINISTRATOR:SILVA, WENDYFACILITY TYPE:
735
ADDRESS:6600 CASWELL AVENUETELEPHONE:
(661) 832-1170
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:4CENSUS: 4DATE:
12/28/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Morris Santamena, Licensee
Joan Aquino, Co-Administrator		TIME COMPLETED:
10:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident's personal rights violated by staff.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/28/22 at 8:45 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a complaint inspection. LPA explained reason for inspection and was granted entry. LPA met with Licensee Morris Santamena and Co-Administrator Joan Aquino.

During the course of the investigation, LPA reviewed records and conducted interviews. Based on records review and interviews, LPA found that there was not sufficient evidence to show resident's personal rights were violated by staff. The above allegation is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted. A copy of this report was given to Licensee Morris Santamena, 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: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022
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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