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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209417
Report Date: 10/27/2025
Date Signed: 10/27/2025 12:27:26 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
10/23/2025 and conducted by Evaluator Jimmy Duarte
COMPLAINT CONTROL NUMBER: 24-AS-20251023155115

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: 29DATE:
10/27/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jessica PelayaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff locks resident’s bathroom door.
Staff not refilling residents medication prescription in timely manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/27/2025, Licensing Program Analysts (LPAs) J. Duarte and M. Medina conducted an unannounced initial 10-day complaint visit. LPAs introduced self, stated purpose of visit, and allowed entrance by Administrator Jessica Pelaya.

This department investigated the above allegations. During the facility tour, LPAs observed the bathroom door in R1's room to be unlocked. During interviews and records review, it was stated that R1's family is obtaining newly prescribed medications and refilling medications from the pharmacy and delivering them to the facility. 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: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
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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