157208879-1-17-2023-24-AS-MHON-CNES26-20230125122902

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157208879
Report Date: 01/17/2023
Date Signed: 01/17/2023 10:12:31 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
09/27/2022 and conducted by Evaluator Malia Thao

COMPLAINT CONTROL NUMBER: 24-AS-20220927110701

FACILITY NAME:	DONNELL COURT		FACILITY NUMBER:	157208879
ADMINISTRATOR:	DURAN, RONALD		FACILITY TYPE:	735
ADDRESS:	6609 DONNELL CT		TELEPHONE:	(661) 412-8548
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93309
CAPACITY:	4	CENSUS: 3	DATE:	01/17/2023
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Ronald Duran, Administrator		TIME COMPLETED:	10:35 AM

ALLEGATION(S):

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Staff yelled at resident.
Staff do not properly supervise resident.
Resident eloped from facility.

INVESTIGATION FINDINGS:

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On 1/17/23 at 8:40 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a complaint inspection. LPA explained reason for inspection and was granted entry by staff. Administrator (ADM) Ronald Duran arrived a short time later.

LPA conducted interviews. During the course of the investigation, LPA conducted interviews and reviewed records. Based on interviews and record review, LPA found that there was not sufficient evidence to show staff yelled at resident, staff do not properly supervise resident, or that resident eloped from facility. The above allegations are unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred.

Exit interview conducted. A copy of this report was given to Administrator Ronald Duran, 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: 01/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

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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