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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208949
Report Date: 07/28/2020
Date Signed: 09/18/2020 11:36:13 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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
02/14/2020 and conducted by Evaluator Les Xiong
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20200214084014
FACILITY NAME:EMMANUELS ELDERLY CAREFACILITY NUMBER:
157208949
ADMINISTRATOR:ZAZUETA, ANGELFACILITY TYPE:
740
ADDRESS:902 BRENTWOOD DRTELEPHONE:
(661) 432-7083
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:12CENSUS: DATE:
07/28/2020
UNANNOUNCEDTIME BEGAN:
02:49 PM
MET WITH:Angel ZazuetaTIME COMPLETED:
05:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident was sexually abused while in care
Staff neglect resulting in resident being hospitalized
Lack of supervision resulting in resident falling
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On this date, Licensing Program Analyst (LPA) Les Xiong was at the above facility to conduct a subsequent complaint investigation. I met with Angel Zazueta, Administrator and informed him the purpose of the visit. During this investigation, LPA delivered investigation findings regarding the above allegations. The Department has investigated the complaint alleging: Resident was sexually abused while in care, staff neglect resulting in resident being hospitalized, and lack of supervision resulting in resident falling. Based on the review of the investigation conducted by the Department and/or records review the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Andy XiongTELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: Les XiongTELEPHONE: (559) 410-1772
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2020
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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