157208933-7-10-2023-24-AS-MHON-CU2VTB-20230724164252

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157208933
Report Date: 07/10/2023
Date Signed: 07/10/2023 12:51:16 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/23/2023 and conducted by Evaluator Alexandria Walton

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230323101703

FACILITY NAME:	NEMIA HOME		FACILITY NUMBER:	157208933
ADMINISTRATOR:	GO, CELESTE		FACILITY TYPE:	734
ADDRESS:	3256 JENKINS RD		TELEPHONE:	(650) 238-4987
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93314
CAPACITY:	5	CENSUS: 5	DATE:	07/10/2023
		UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Administrator, Celeste Go		TIME COMPLETED:	01:06 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Resident consumed illegal drugs on the premises

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 07/10/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Celeste Go.

Based on record review, R1 was re-tested, and the results came back negative. Based on interviews and records review, the allegation: Resident consumed illegal drugs on the premises is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies issued during this inspection. An exit interview was conducted. A copy of this report was discussed and provided to Administrator, Celeste Go, whose signature on this form confirms receipt of this document.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023

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 3