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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208767
Report Date: 04/22/2026
Date Signed: 04/22/2026 12:43:00 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
04/15/2026 and conducted by Evaluator Melinda Medina
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260415154451
FACILITY NAME:BETHANY JOY GARDENFACILITY NUMBER:
157208767
ADMINISTRATOR:ESTOMATA, RIZANIO BFACILITY TYPE:
740
ADDRESS:12302 RAMBLER AVENUETELEPHONE:
(661) 615-3897
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:6CENSUS: 3DATE:
04/22/2026
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Florante LansanganTIME COMPLETED:
01:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility did not provide supervision allowing resident to walk the neighborhood freely
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/22/2026, Licensing Program Analyst (LPA) M. Medina arrived to conduct an unannounced initial 10-day complaint visit. LPA arrived, introduced self, stated purpose of visit, and allowed entrance to facility by staff. Licensee was not available to conduct today's complaint visit, LPA met with staff to conduct visit.

During the course of the investigation, documents were reviewed, interviews conducted and observations made. Based on information gathered during interviews, and review of video surveillance, R1 left facility unassisted by staff. The preponderance of evidence standard has been met, therefore the above allegation of is found to be SUBSTANTIATED.

A deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 9099D. An immediate Civil Penalty is being Assessed on the attached LIC421M

Exit interview was conducted and a plan of correction developed and reviewed. A copy of this report provided to staff for facility records. .
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026
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-20260415154451
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: BETHANY JOY GARDEN
FACILITY NUMBER: 157208767
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/22/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/23/2026
Section Cited
CCR
87411(a)
1
2
3
4
5
6
7
(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.
***This was not met as evidenced by review of video surveillance, R1 left facility unassisted by staff.
1
2
3
4
5
6
7
Licensee to submit a written plan to department to ensure how regulation will be met.
8
9
10
11
12
13
14

IMMEDIATE CIVIL PENALTY ASSESSED
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: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2