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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208915
Report Date: 05/08/2025
Date Signed: 05/08/2025 06:06:11 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
02/11/2025 and conducted by Evaluator Rachel A Bruce
COMPLAINT CONTROL NUMBER: 24-AS-20250211120402
FACILITY NAME:PALMS AT SAN LAUREN, THEFACILITY NUMBER:
157208915
ADMINISTRATOR:RICE, DOUGLASFACILITY TYPE:
740
ADDRESS:5300 HAGEMAN RDTELEPHONE:
(661) 218-8333
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:68CENSUS: 66DATE:
05/08/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Brandon Weber, Administrator TIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Resident has not received a shower for an extended period of time
INVESTIGATION FINDINGS:
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On 5/8/2025, Licensing Program Analyst (LPA) Rachel Bruce conducted a subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA interviewed staff and residents and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED.
Facility did not have hot water available to residents for over 7 days during February 2025. During this time residents had no access to their regular shower and although there was one shower available in another unit, many residents did not know and/or did not feel comfortable so many residents went without a proper shower until the units were repaired.
Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
See attached citation.
An exit interview was conducted with Administrator, a copy of this report with plan of corrections, and appeal rights were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025
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 4
Citations on this Visit Report are Under Appeal!

Control Number 24-AS-20250211120402
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: PALMS AT SAN LAUREN, THE
FACILITY NUMBER: 157208915
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
05/08/2025
Section Cited
CCR
87468.1(2)
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Personal Rights 87468.1
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by
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The water issue was fixed under the prior administrative team. Showers and hot water are available and have been since repair was completed. The POC will be cleared as of today's visit.
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Shower equipment (hot water) was not available and functioning for several days and residents who were not informed of alternative had to do without taking a shower. This poses a potential risk to the health and safety of the residents in care.
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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: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
02/11/2025 and conducted by Evaluator Rachel A Bruce
COMPLAINT CONTROL NUMBER: 24-AS-20250211120402

FACILITY NAME:PALMS AT SAN LAUREN, THEFACILITY NUMBER:
157208915
ADMINISTRATOR:RICE, DOUGLASFACILITY TYPE:
740
ADDRESS:5300 HAGEMAN RDTELEPHONE:
(661) 218-8333
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:68CENSUS: 66DATE:
05/08/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Brandon Weber, Administrator TIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Staff handled resident roughly
Staff do not answer residents calls for assistance timely
Staff charge residents for services not rendered
INVESTIGATION FINDINGS:
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On 5/8/2025 Licensing Program Analyst (LPA) R Bruce visited facility stated above and met with Administrator Brandon Weber to report findings pertaining to investigation with above allegations:

Staff handled resident roughly: Referring to staff rushing the showering procedure and not treating resident with care.
Staff do not answer resident's calls for assistance timely when using the pull cord.
Staff charge residents for services not rendered: referring to billing that is inconsistent or has erroneous charges.

Based on interviews and documentation review the above allegations are unsubstantiated. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are found to be unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
02/11/2025 and conducted by Evaluator Rachel A Bruce
COMPLAINT CONTROL NUMBER: 24-AS-20250211120402

FACILITY NAME:PALMS AT SAN LAUREN, THEFACILITY NUMBER:
157208915
ADMINISTRATOR:RICE, DOUGLASFACILITY TYPE:
740
ADDRESS:5300 HAGEMAN RDTELEPHONE:
(661) 218-8333
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:68CENSUS: 66DATE:
05/08/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Brandon Weber, Administrator TIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Staff open residents mail
Due to lack of supervision, resident physically attacked another resident
Staff are not following resident's special diet.
INVESTIGATION FINDINGS:
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On 5/8/2025, Licensing Program Analyst (LPA) Rachel Bruce conducted a subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA interviewed staff and residents and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegations are UNFOUNDED.
Staff opens resident's mail: No mail only packages are opened and that is only when resident is utilizing medial management and the package contains medication or supplements.
Staff attacked another resident due to lack of supervision: Staff was present and intervened appropriately.
Staff are not following resident's special diet: Diet restrictions or modifications are clearly labeled and provided as well as alternative meals if requested.
This agency has investigated the above allegations and have them to be UNFOUNDED. This means that the allegation was false, could not have happened or is without a reasonable basis. We have found that the complaint was unfounded, therefore we have dismissed the allegations.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4