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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209319
Report Date: 08/06/2024
Date Signed: 08/06/2024 12:33:20 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: 17DATE:
08/06/2024
UNANNOUNCEDTIME BEGAN:
09:21 AM
MET WITH:Administrator Ty SchererTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff are mishandling the clients personal funds
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) K. Kaur and S. Doucette arrived at the facility for a subsequent visit to deliver findings. LPAs met with Administrator Ty Scherer 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 and observation residents were not getting their P& I funds in a timely manner. Based on records review; residents P & I funds are not disturbed and given in full. R1 received a check dated 5/31/2024 for $1,498.07 for Rent and P & I. $100 of P & I funds should have been deposited to residents Ledger (LIC405). However, the only entries observed were for $23 for May 2024 for (R1).

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: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
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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Citations on this Visit Report are Under Appeal!

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: 08/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
08/07/2024
Section Cited
CCR
80026(h)
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80026 (h) Each licensee shall maintain accurate records of accounts of cash resources, personal property, and valuables entrusted to his/her care, including, but not limited to the following:

This requirement is not met as evidenced by:
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Licensee to submit a statement of intent by due date to conduct a complete audit of all resident’s P & I funds and submit findings of discrepancies and disclose in audit which residents did not receive complete P & I funds and show proof of replacement of said funds to residents owed.
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Based on records review; resident (R1) P &I funds are not disturbed and given in full.
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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: 08/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2