<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157206793
Report Date: 06/05/2023
Date Signed: 06/05/2023 02:16:13 PM

Substantiated


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
05/30/2023 and conducted by Evaluator Melinda Medina
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20230530114813
FACILITY NAME:UNITED IN THE WESTFACILITY NUMBER:
157206793
ADMINISTRATOR:BLANCE ARTEAGAFACILITY TYPE:
735
ADDRESS:8101 FALLS CTTELEPHONE:
(661) 588-0636
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:4CENSUS: 4DATE:
06/05/2023
UNANNOUNCEDTIME BEGAN:
01:21 PM
MET WITH:Blanca Arteaga
Daniel Esparaza		TIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility illegally evicted resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/5/2023, Licensing Program Analysts (LPAs) M. Medina and M. Flores conducted an unannounced initial 10-day complaint visit. LPAs introduced self and stated purpose of visit. LPAs met with Daniel Esparaza, Supervisor and Blanca Arteaga, Administrator.

During the investigation, LPAs conducted interviews and gathered documentation. Based on the above information, the preponderance of evidence standard has been met. The allegation that facility staff illegally evicted resident is SUBSTANTIATED based on review of eviction letter provided to Department during investigation.

Deficiency cited on the attached 9099 D. Exit interview conducted. Appeal Rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023
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-20230530114813
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: UNITED IN THE WEST
FACILITY NUMBER: 157206793
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/16/2023
Section Cited
CCR
85068.5
1
2
3
4
5
6
7
(c)The licensee shall set forth in the notice to quit the reasons for the eviction, with specific facts including the date, place, witnesses, and circumstances.
***This was not met as evidenced by
1
2
3
4
5
6
7
Licensee will resubmit eviction letter to Department and all parties by POC due date.
8
9
10
11
12
13
14
based on review of eviction letter provided to Department during investigation.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2