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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209256
Report Date: 12/18/2024
Date Signed: 12/19/2024 08:19:29 AM

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
09/20/2024 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20240920144213
FACILITY NAME:VERNON GARDENS RESIDENTIAL CARE CENTERFACILITY NUMBER:
157209256
ADMINISTRATOR:CUDAL, NANCYFACILITY TYPE:
735
ADDRESS:2603 MOUNT VERNON AVENUETELEPHONE:
(661) 374-8969
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:54CENSUS: 43DATE:
12/18/2024
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Administrator Nancy CudalTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff do not prevent residents from using illegal drugs inside of the facility
Staff do not ensure that facility faucets deliver hot water
Staff do not serve residents food of good quality
Staff do not safeguard residents' personal belongings
Staff do not allow residents to manage own funds
Staff leaves residents unsupervised
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Shawna Doucette (LPA) conducted a visit to deliver findings. LPA discussed the purpose of the visit and the elements of the allegations with Administrator Nancy Cudal.

LPA toured the facility, checked the water and the food.

Based on the Departments interviews and records review, it is undertermined if staff do not prevent residents from using illegal drugs inside of the facility.

Based on interviews and observation, it is undetermined if there was a time facility faucets did not deliver hot water. LPA checked water during visit and water was hot.

Based on obsevation and interviews, facility is serving residents food of good quality. Facility has a 2 day 7 day supply of food.






Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
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 2
Control Number 24-AS-20240920144213
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: VERNON GARDENS RESIDENTIAL CARE CENTER
FACILITY NUMBER: 157209256
VISIT DATE: 12/18/2024
NARRATIVE
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Based on interviews, it is undetermined if staff do not safeguard residents personal belongings.

Based on interviews and records review, facility receives funds from the payee and funds are then signed received by residents upon request. It is undetermined if there was a time residents did not receive funds. It is undetermined if there was a time staff did not allow residents to manage their own funds.

Based on interviews and staff schedule, it is undetermined if residents were left unsupervised.


Based on record reviews and interviews, Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2