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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 247200745
Report Date: 08/03/2022
Date Signed: 08/03/2022 11:18:17 AM

Unfounded


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
08/01/2022 and conducted by Evaluator Lisa Salazar
COMPLAINT CONTROL NUMBER: 24-AS-20220801143433
FACILITY NAME:NEW BETHANYFACILITY NUMBER:
247200745
ADMINISTRATOR:FONSECA, JULIAFACILITY TYPE:
740
ADDRESS:1441 BERKELEY DRIVETELEPHONE:
(209) 827-8933
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY:76CENSUS: 41DATE:
08/03/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Administrator Lucinda Fonseca TIME COMPLETED:
11:30 AM
ALLEGATION(S):
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9
Facility does not have hot water for the residents.
INVESTIGATION FINDINGS:
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On 08/03/22, Licensing Program Analysts (LPAs) L. Salazar and V. Gorban arrived at the facility unannounced to conduct the required 10 day site inspection. LPAs were greeted by receptionist, stated the purpose of the visit, and were allowed entry. COVID precautionary measures were taken at time of entry.

LPAs toured the facility with Administrator and observed 4 hallway wings that branch off from the main entrance. There are 16 rooms in each hallway of a wing. LPAs tested the water temperature in odd numbered rooms in each wing of the facility. LPAs observed the following temperatures.

Wing A - 114 degrees F
Wing B - 113 degrees F
Wing C - 112 degrees F
Wing D - 110 degrees F

(Continued on attached 9099-C)
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Lisa SalazarTELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022
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-20220801143433
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: NEW BETHANY
FACILITY NUMBER: 247200745
VISIT DATE: 08/03/2022
NARRATIVE
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(Continued from 9099)


We have found that the complaint was unfounded, meaning that the allegation is false, could not have happened and or is without reasonable basis, therefore, we have dismissed the complaint. Exit interview conducted. A copy of this report was provided to Administrator. No deficiencies cited on today's visit.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Lisa SalazarTELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2