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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 160403663
Report Date: 06/21/2024
Date Signed: 07/12/2024 12:23:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 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
04/26/2024 and conducted by Evaluator David Ayers
COMPLAINT CONTROL NUMBER: 24-AS-20240426094219
FACILITY NAME:KINGS REHABILITATION CENTER, INC.FACILITY NUMBER:
160403663
ADMINISTRATOR:ACOSTA, SUSANFACILITY TYPE:
775
ADDRESS:490 E. HANFORD ARMONA ROADTELEPHONE:
(559) 582-9234
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:100CENSUS: 62DATE:
06/21/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Stephanie - Program ManagerTIME COMPLETED:
09:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff speak to clients in an inappropriate manner.
Staff do not adequately supervise clients.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/21/2024, Licensng Program Analyst(LPA) D. Ayers arrived unannounced to deliver complaint findings. LPA met with Program Manager Stephanie Sanchez announced the purpose of the inspection. During the course of the investigation, the department conducted interviews, inspected the facility, and reviewed records.

1) Staff speak to clients in an inappropriate manner: Unsubstantiated - During staff and client interviews, staff and clients stated that they have not heard staff speaking to clients in an inappropriate manner.
2) Staff do not adequately supervise clients: Unsubstantiated - Duirng interviews, clients stated that they feel they are adequately supervised. Staff were familiar with facility procedures for proper supervision of clients. Interviewed staff felt that clients were always properly supervised. Based off record reviews, the facility employs an appropriate amount of staff to supervise clients.

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, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of the report was provided via email.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: David Ayers
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
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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