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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209417
Report Date: 08/12/2025
Date Signed: 08/12/2025 05:07:51 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
06/20/2025 and conducted by Evaluator Jimmy Duarte
COMPLAINT CONTROL NUMBER: 24-AS-20250620140053
FACILITY NAME:REAL CARE LLCFACILITY NUMBER:
157209417
ADMINISTRATOR:PELAYA, JESSICAFACILITY TYPE:
740
ADDRESS:818 REAL RDTELEPHONE:
(661) 760-7610
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:300CENSUS: 20DATE:
08/12/2025
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Administrator Jessica PelayaTIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
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9
Staff rely on egress devices for memory care residents as a substitute for staff
Staff are not maintaining the facility free of odor
Staff do not ensure that residents are provided with activities
INVESTIGATION FINDINGS:
1
2
3
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5
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7
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9
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13
On 8/12/2025, Licensing Program Analysts (LPAs) J. Duarte and M. Medina conducted an unannounced subsequent complaint visit to conduct facility tour, interviews, gather documentation and deliver findings. LPA introduced self and stated purpose of visit and allowed entrance by direct care staff. Administrator, Jessica Pelaya present and conducted facility tour with LPAs along with Maintenance Supervisor, Nathan Villela. .

During the course of the investigation, facility was toured, interviews conducted and information gathered. This department had insufficient information regarding the allegations listed above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove that the allegations occurred;therefore, the allegations are UNSUBSTANTIATED.

No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report was provided to Administrator for facility records
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Serigy Pidgirny
LICENSING EVALUATOR NAME: Jimmy Duarte
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025
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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