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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 247200745
Report Date: 08/09/2025
Date Signed: 08/09/2025 11:29:35 AM

Unfounded


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
04/15/2025 and conducted by Evaluator Melinda Medina
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250415165724
FACILITY NAME:NEW BETHANYFACILITY NUMBER:
247200745
ADMINISTRATOR:ELDAOUCH,BASUNYFACILITY TYPE:
740
ADDRESS:1441 BERKELEY DRIVETELEPHONE:
(209) 827-8933
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY:76CENSUS: 38DATE:
08/09/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Nicole LoweTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff not allowing resident to receive hospice care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/25/25, Licensing Program Analyst (LPA) R. Bruce conducted a complaint visit to deliver findings for the above allegation. The complaint findings were delivered as UNFOUNDED, however the document is not available in FAS. This document will serve as a replacement for the original.

On 8/09/2025, LPA M. Medina conducted a subsequent visit to re-create this form, and obtain signature for documenting purposes. Nicole Lowe, LVN/Administrator contacted by telephone and arrived a short time later to meet with LPA Medina.

During complaint investigation, it was alleged that staff is not allowing resident (R1) to receive hospice care. Based on interviews and record review it has been determined that the facility has followed their business plan and will continue to not offer hospice at the assisted living level of care. Doctor reports on file indicate R1 needs a higher level of care and refer R1 to skilled nursing.

This Department has found that the above allegations are UNFOUNDED, meaning they were false, could not have happened, and/or were without reasonable basis. We have therefore dismissed the complaint.

No deficiencies cited. Exit interview conducted and a copy of report will be emailed to Administraotr for facility records.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2025
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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