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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209516
Report Date: 07/16/2025
Date Signed: 09/03/2025 07:47:22 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 Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250620164716
FACILITY NAME:HIGH DESERT HAVENFACILITY NUMBER:
157209516
ADMINISTRATOR:POYTHRESS, LINDAFACILITY TYPE:
740
ADDRESS:1240 COLLEGE HEIGHTS BLVD.TELEPHONE:
(760) 371-1989
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY:154CENSUS: 73DATE:
07/16/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Wellness Director, Elizabeth VaskuTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not ensure temperature of food served to resident was appropriate, resulting in resident sustaining multiple burns.
Staff threatened resident.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Shawna Doucette and Daiquiri Boyd arrived at the facility 09/03/2025 to amend documents previously signed.
Licensing Program Analysts LPA’s Shawna Doucette and Sarah Hurt arrived at the facility on 0716/2025 unannounced to deliver complaint findings. LPA’s met with Administrator Linda Poythress.

LPA interviewed residents and staff. LPA reviewed medical records.

Based on medical records review and interviews, it is undetermined whether staff did or did not ensure the food served to residents was at an appropriate temperature, resulting in resident sustaining multiple burns. Medical records did not indicate resident sustained any burns.

Based on interviews, it is undetermined if staff threatened a resident. Through interviews conducted, LPA did not find any evidence of threatening statements being made to any residents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
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-20250620164716
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: HIGH DESERT HAVEN
FACILITY NUMBER: 157209516
VISIT DATE: 07/16/2025
NARRATIVE
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Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A copy of this report was provided.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2