167202434-8-30-2024-24-AS-SMOA-D8SP5K-20240904110053

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 167202434
Report Date: 08/30/2024
Date Signed: 08/30/2024 02:07:20 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
06/03/2024 and conducted by Evaluator Alexandria Walton

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20240603123644

FACILITY NAME:	CASA DEL RIO		FACILITY NUMBER:	167202434
ADMINISTRATOR:	MARMON, JILL		FACILITY TYPE:	735
ADDRESS:	817 W SEVENTH ST		TELEPHONE:	(559) 380-2170
CITY:	HANFORD	STATE: CA	ZIP CODE:	93230
CAPACITY:	14	CENSUS: 14	DATE:	08/30/2024
		UNANNOUNCED	TIME BEGAN:	01:12 PM
MET WITH:	Administrator, Jill Marmon.		TIME COMPLETED:	01:26 PM

ALLEGATION(S):

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Staff did not address a bed bug infestation
Staff do not keep the facility clean and sanitary
Staff do not keep the facility free from odor
Staff are retaining residents that require a higher level of care

INVESTIGATION FINDINGS:

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On 08/30/2024, 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 Administrator, Jill Marmon.

During the course of this complaint investigation, LPA conducted a tour of the facility, reviewed records, and conducted interviews. Based on record reviews and observations made during the facility tour, the allegations: Staff did not address a bed bug infestation, Staff do not keep the facility clean and sanitary, Staff do not keep the facility free from odor, and Staff are retaining residents that require a higher level of care are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies issued. Exit interview conducted. Report was signed on-site and a copy of this report was provided to Administrator, Jill Marmon.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024

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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