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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208931
Report Date: 08/07/2025
Date Signed: 08/07/2025 10:56:25 AM

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
06/18/2025 and conducted by Evaluator Lisa Salazar
COMPLAINT CONTROL NUMBER: 24-AS-20250618134256
FACILITY NAME:AIMES COFFEE HOUSEFACILITY NUMBER:
157208931
ADMINISTRATOR:WRIGHT, MIRANDAFACILITY TYPE:
738
ADDRESS:6742 COFFEE RDTELEPHONE:
(661) 589-9992
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:4CENSUS: 3DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
10:22 AM
MET WITH:Ethan Clemente, Lead RBT
Operations Manager, Alexis Rutledge		TIME COMPLETED:
11:05 AM
ALLEGATION(S):
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Facility staff do not provide planned recreational activities
INVESTIGATION FINDINGS:
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13
On 08/07/25, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegation. LPA was greeted by Lead RBT, stated the purpose of the visit and was allowed entry. LPA met with Operations Manager to discuss the findings.

The Department has investigated the above allegation. LPA conducted interviews and records review showing Resident R1 had one outing since the time of their admission on 05/21/25. Outing / activity was a car ride on 06/18/25 to get a slushie at Sonic Burger. No other outings were observed prior to 06/18/25.

Based on the information received, the preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 6, a deficiency is being cited on the attached 9099-D.

An exit interview was conducted with Administrator. A copy of this report and appeal rights were discussed and provided to Lead staff. A plan of correction was developed and implemented by Administrator prior to LPAs arrival. Interview with R1 states they are attending community outings on a regular basis. POC cleared.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
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
Control Number 24-AS-20250618134256
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: AIMES COFFEE HOUSE
FACILITY NUMBER: 157208931
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2025
Section Cited
CCR
85079(c)
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85079 Activities
(c) The licensee shall ensure that clients are given the opportunity to attend and participate in community activities... This requirement was not met as evidenced by LPAs observation of records review showing Resident R1 had one outing since the time of their admission on XX/XX/25. Outing was a car ride on 06/18/25 to get a slushie at Sonic Burger. No other outings were observed prior to 06/18/25. If not corrected, this poses a potential risk to the health safety and/or personal rights of residents in care.
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A plan of correction was developed and implemented by Administrator prior to LPAs arrival. Interview with R1 states they are attending community outings on a regular basis. POC cleared.
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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: Brenda Chan
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
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
06/18/2025 and conducted by Evaluator Lisa Salazar
COMPLAINT CONTROL NUMBER: 24-AS-20250618134256

FACILITY NAME:AIMES COFFEE HOUSEFACILITY NUMBER:
157208931
ADMINISTRATOR:WRIGHT, MIRANDAFACILITY TYPE:
738
ADDRESS:6742 COFFEE RDTELEPHONE:
(661) 589-9992
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:4CENSUS: 3DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
10:22 AM
MET WITH:Alexis Rutledge, Operations Manager TIME COMPLETED:
11:05 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff is not allowing resident a choice in receiving medical care
INVESTIGATION FINDINGS:
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2
3
4
5
6
7
8
9
10
11
12
13
On 08/07/25, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegation. LPA was greeted by staff, stated the purpose of the visit and was allowed entry. LPA met with the Operations Manager to discuss the findings.

The Department has investigated the above allegation. LPA conducted interviews and records review that show R1 was not able to be seen by one of the medical facilities of their choice until they had their Identification (ID) card to present at the time of appointment. Facility has since obtained R1’s ID and interviews and records review show R1 is being seen by their medical facility of choice.

Although the allegation may have happened, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is Unsubstantiated. Exit interview conducted and copy of report was left with Administrator. No deficiencies cited.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
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
06/18/2025 and conducted by Evaluator Lisa Salazar
COMPLAINT CONTROL NUMBER: 24-AS-20250618134256

FACILITY NAME:AIMES COFFEE HOUSEFACILITY NUMBER:
157208931
ADMINISTRATOR:WRIGHT, MIRANDAFACILITY TYPE:
738
ADDRESS:6742 COFFEE RDTELEPHONE:
(661) 589-9992
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:4CENSUS: 3DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
10:22 AM
MET WITH:Ethan Clemente, Lead RBT
Operations Manager, Alexis Rutledge		TIME COMPLETED:
11:05 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff is not allowing resident a choice in receiving medical care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/07/25, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegation. LPA was greeted by staff, stated the purpose of the visit and was allowed entry. LPA met with the Operations Manager to discuss the findings.

The Department has investigated the above allegation. LPA conducted interviews and records review that show R1 was not able to be seen by one of the medical facilities of their choice until they had their Identification (ID) card to present at the time of appointment. Facility has since obtained R1’s ID and interviews and records review show R1 is being seen by their medical facility of choice.

Although the allegation may have happened, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is Unsubstantiated. Exit interview conducted and copy of report was left with Administrator. No deficiencies cited.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
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