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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209417
Report Date: 08/04/2026
Date Signed: 08/04/2026 12:39:48 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
04/08/2026 and conducted by Evaluator Jimmy Duarte
COMPLAINT CONTROL NUMBER: 24-AS-20260408103446
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: DATE:
08/04/2026
UNANNOUNCEDTIME BEGAN:
12:01 PM
MET WITH:Licensee Benjamin DonelTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not notify resident's authorized representative of an unusual incident involving the resident.

Staff mismanaged medication, resulting in resident suffering a fall that caused injuries.

Licensee did not ensure staffing was adequate to meet residents' needs.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/04/2026, Licensing Program Analyst (LPA) J. Duarte met with Licensee Benjamin Donel and delivered findings.

The Department conducted interviews and reviewed records. Per the incident reports, R1's authorized representative was made aware of the incident. LPA was unable to determine if staff mismanaged medication, resulting in a resident suffering a fall. Based on staff schedule, the facility has adequate staffing to meet the residents needs. In review of interviews conducted and records, the allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated.

An exit interview was conducted. A copy of this report was discussed and provided Licensee Benjamin Donel, whose signature on this form confirms receipt of this document.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Jimmy Duarte
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026
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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