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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157206907
Report Date: 02/12/2026
Date Signed: 02/13/2026 08:08:58 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
01/15/2026 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260115160118
FACILITY NAME:UNION VILLAFACILITY NUMBER:
157206907
ADMINISTRATOR:MONTIANO, NANCYFACILITY TYPE:
735
ADDRESS:1102 S. UNION AVE.TELEPHONE:
(661) 323-0768
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:89CENSUS: 52DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Staff Yvonne AggasidTIME COMPLETED:
12:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident is not receiving medications as prescribed
The facility is dirty
Facility contains bedbugs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/12/2026, Licensing Program Analyst (LPA) V Gorban arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit to staff Yvonne Aggasid and was granted entry. Administrator was notified of Licensing visit.
During the course of the investigation, LPA conducted a facility tour and conducted records review and interviews.
This agency has investigated the complaint allegations: Resident is not receiving medications as prescribed
The facility is dirty, and Facility contains bedbugs.
Based on interviews and records review medication administration documented in facility records. Regarding facility is dirty, per observation and records review, facility staff clean rooms daily. Regarding bedbugs, staff treating residents' room with solutions if concern arises. 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, therefore the allegations are unsubstantiated. No deficiency cited.
Exit interview conducted, report signed and copy of this report provided for facility records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
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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