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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209319
Report Date: 07/17/2024
Date Signed: 07/17/2024 07:16:20 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 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
05/02/2024 and conducted by Evaluator Kamaldeep Kaur
COMPLAINT CONTROL NUMBER: 24-AS-20240502105259
FACILITY NAME:CENTER STREET BOARD AND CARE 2FACILITY NUMBER:
157209319
ADMINISTRATOR:BARBATO, ANTHONYFACILITY TYPE:
735
ADDRESS:2451 CENTER STTELEPHONE:
(415) 810-0145
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:18CENSUS: 18DATE:
07/17/2024
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Regional Director Steven CruzTIME COMPLETED:
07:00 PM
ALLEGATION(S):
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Staff threatened the clients with eviction
Staff do not keep the facility free from pests
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) K. Kaur and S. Doucette arrived at the facility for a subsequent visit and reviewed records. LPAs met with Regional Director Steven Cruz and explained the purpose of the visit and reviewed the elements of the allegations. LPAs delivered the following complaint investigation findings.

The Department investigated the allegations listed above. Based on interviews conducted with staff & residents; previous Administrator threatened resident eviction because of resident hygiene practices. Based on Resident and Staff interviews facility had bed bugs and did not follow pest control recommendations.

The preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. See citations on the attached LIC9099D. Exit interview was conducted with staff and appeal rights were provided via email.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Kamaldeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
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 3
Control Number 24-AS-20240502105259
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: CENTER STREET BOARD AND CARE 2
FACILITY NUMBER: 157209319
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/18/2024
Section Cited
CCR
80072(a)(3)
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80072 Personal Rights (a)...each client shall have personal rights which include, but are not limited to, the following: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, ... withholding of shelter,...

This requirement was not met as evidenced by:
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Administrator to submit statement of intent by POC due date to provide in-service training for personal rights and provide documentation when completed.
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Based on interviews conducted with staff and residents previous Administrator threatened resident eviction because of resident hygiene practices.
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Type A
07/18/2024
Section Cited
CCR
80087(a)(1)
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80087 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair ... (1) The licensee shall take measures to keep the facility free of flies and other insects.

This requirement was not met as evidenced by:
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Correction completed, Administrator had Pest control spray for bed bugs. Documentation of invoice will be emailed to CCLD
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Based on Resident and Staff interviews facility had bed bugs
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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: See Moua
LICENSING EVALUATOR NAME: Kamaldeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3