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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 160400627
Report Date: 07/11/2023
Date Signed: 07/11/2023 12:13:52 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/13/2023 and conducted by Evaluator Alexandria Walton
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20230613081923
FACILITY NAME:VALLEY CHRISTIAN HOMEFACILITY NUMBER:
160400627
ADMINISTRATOR:ALVIDREZ, ERINFACILITY TYPE:
740
ADDRESS:511 E. MALONE ST.TELEPHONE:
(559) 585-3000
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:131CENSUS: 64DATE:
07/11/2023
UNANNOUNCEDTIME BEGAN:
11:42 AM
MET WITH:Care Coordinator, Karen BeasleyTIME COMPLETED:
12:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff does not treat resident with dignity and respect
Staff refuse to provide resident with assistance
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/11/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Care Coordinator, Karen Beasley

Based on interviews conducted with staff and residents, the allegations: Staff does not treat resident with dignity and respect and Staff refuse to provide resident with assistance are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies issued.

Exit interview conducted. A copy of this report was discussed and provided to Care Coordinator, Karen Beasley, whose signature on this form confirms receipt of this document.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023
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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