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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209516
Report Date: 09/03/2025
Date Signed: 09/03/2025 07:03:29 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
09/02/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250902145755
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: 71DATE:
09/03/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Wellness Director Elizabeth VaskuTIME COMPLETED:
07:00 PM
ALLEGATION(S):
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Staff does not ensure resident is spoken to in an appropriate manner
Staff do not ensure residents room is kept in clean sanitary conditions
Staff does not ensure residents dietary plan is followed
Staff does not ensure food being served is of good quality
Staff does not ensure residents personal hygiene needs are being met
Facility did not replace residents personal property due to being damaged
INVESTIGATION FINDINGS:
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Licensing Program Analysts LPA’s Shawna Doucette and Daiquiri Boyd arrived at the facility unannounced to investigate and deliver complaint findings. LPA’s met with Wellness Director Elizabeth Vasku.

LPA's reviewed records and conducted interviews.

Regarding the allegation Staff does not ensure resident is spoken to in an appropriate manner Based on staff interviews and resident interviews there were no witnesses to staff speaking inappropriately to a resident.

Regarding allegation Staff do not ensure residents room is kept in clean sanitary conditions. Based on facility tour, LPA's observed several resident rooms to be clean. Based on staff interviews R1 often refuses to allow staff to clean R1's room. Based on resident interviews staff are cleaning rooms frequently, as allowed by residents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
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-20250902145755
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: 09/03/2025
NARRATIVE
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Regarding the allegation Staff does not ensure residents dietary plan is followed Based on interviews and records review, R1's LIC 602 does not state R1 requires a special diet. Based on records review and interviews, R1 is provided a menu to list items R1 will eat and is provided alternative options.

Regarding the allegation Staff does not ensure food being served is of good quality Based on resident interviews and observation residents are being served good quality food. LPA's arrived at the facility while the residents were eating lunch. LPA's observed residents to be eating fish and chips with coleslaw and a piece of cheesecake.

Regarding the allegation Staff does not ensure residents personal hygiene needs are being met. Based on records review R1's LIC 602 states R1 requires assistance with personal hygiene. Based on staff and resident interviews, R1 often refuses assistance with personal hygiene needs. LPA was unable to determine if staff are not ensuring R1's personal hygiene needs are being met.

Regarding the allegation Facility did not replace residents personal property due to being damaged. Based on interviews, it is undetermined whether or not personal property was damaged and needed to be replaced. Facility did not have a personal property list due to R1's representative refusing to provide information which was signed on the LIC

Although the allegations listed 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 allegations are Unsubstantiated.


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

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2