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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209417
Report Date: 07/23/2026
Date Signed: 07/23/2026 01:52:39 PM

Substantiated


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
04/27/2026 and conducted by Evaluator Jimmy Duarte
COMPLAINT CONTROL NUMBER: 24-AS-20260427110441
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: 44DATE:
07/23/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Director of Operations, Gemma De La CruzTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility did not ensure that staff are properly trained.
INVESTIGATION FINDINGS:
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On 07/23/2026, Licensing Program Analyst (LPA) J. Duarte arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and met with Director of Operations, Gemma De La Cruz. LPA contacted Licensee Benjamin Donel and he authorized staff Gemma to sign this report.

During the course of this investigation, LPA conducted a facility tour, reviewed records, and interviewed staff. Staff interviews revealed that staff were not fully trained and the facility did not have record of the initial and annual trainings for staff. Based on interviews, the preponderance of evidence standard has been met; therefore, the allegation: Facility did not ensure that staff are properly trained, is SUBSTANTIATED.

A deficiency is being cited in accordance with California Code of Regulations, Title 22, Division 6, chapter 8, on the attached 9099D.

An exit interview was conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Gemma De La Cruz, whose signature on this form confirms receipt of this document.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Jimmy Duarte
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
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-20260427110441
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: REAL CARE LLC
FACILITY NUMBER: 157209417
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/03/2026
Section Cited
CCR
87411(c)
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87411 Personnel Requirements – General
(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69
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Facility will ensure that all staff are fully trained and provide documentation to CCLD by POC due date of 08/03/2026.
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This requirement was not met as evidenced by: Staff interviews revealed that staff were not fully trained and the facility did not have record of the initial and annual trainings for staff, which poses an immediate health, safety or personal rights risk to persons in care.
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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.
SUPERVISOR'S NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Jimmy Duarte
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2