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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208854
Report Date: 06/26/2023
Date Signed: 06/30/2023 10:40:23 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
03/03/2023 and conducted by Evaluator Brianna Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20230303124912
FACILITY NAME:HOUGHTON HOMEFACILITY NUMBER:
157208854
ADMINISTRATOR:SAYSON, SHANNONFACILITY TYPE:
735
ADDRESS:6444 HOUGHTON RDTELEPHONE:
(661) 827-8025
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:4CENSUS: 3DATE:
06/26/2023
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Administrator- Shannon Sayson TIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility failed to provide proper care and supervision to residents in care
INVESTIGATION FINDINGS:
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On 6/26/23 at 1:15 p.m. Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to deliver the complaint investigation findings regarding the allegation(s) listed above. LPA introduced herself and explained the reason for the visit, Administrator (AD) Shannon Sayson was contacted.

1. The Department investigated the allegation: Facility failed to provide proper care and supervision to residents in care. LPA conducted multiple interviews with staff and residents. LPA reviewed documents and did not find client to staff ratio to be out of compliance. Interviewees stated when a resident is having a behavior all residents are redirected. Facility does provide 1:1 with residents who require 1:1. Facility has obtained a behavior specialist & counselor to help intervene with resident's behaviors.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2023
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-20230303124912
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: HOUGHTON HOME
FACILITY NUMBER: 157208854
VISIT DATE: 06/26/2023
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was completed and copy of this report and LIC9099C were provided to Administrator.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2