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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 247200745
Report Date: 01/19/2024
Date Signed: 01/25/2024 08:26:45 AM

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
09/20/2023 and conducted by Evaluator Brianna Miranda
COMPLAINT CONTROL NUMBER: 24-AS-20230920100634
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: 37DATE:
01/19/2024
UNANNOUNCEDTIME BEGAN:
11:08 AM
MET WITH:Lucinda FonsecaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff are not meeting residents showering needs
Staff are not meeting residents needs
Staff are not administering residents medicine in a timely manner
INVESTIGATION FINDINGS:
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On 01/19/2024 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to deliver the findings for the allegations listed above. LPA introduced herself and explained the reason for the visit. Sister Lucinda Fonseca was contacted.

LPA conduct a walk around tour of the facility to verify there was no immediate danger.

LPA requested the following documents: Shower schedule for September 2023, and are due by the end of business day 01/24/2024.

1. The Department investigated the allegation: Staff are not meeting residents showering needs. LPA interviewed multiple staff members, and multiple residents. None of the interviewees stated showering needs are not being met. It was stated if a shower can not be made on the scheduled date/time then it will be reschedule for another date/time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna MirandaTELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
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-20230920100634
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: NEW BETHANY
FACILITY NUMBER: 247200745
VISIT DATE: 01/19/2024
NARRATIVE
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2. The Department investigated the allegation: Staff are not meeting residents needs. LPA interviewed multiple staff members, and multiple residents. None of the interviewees stated the resident's needs are not being met. Interviewees did not state any concerns regarding the allegation listed above.

3. The Department investigated the allegation: Staff are not administering residents medicine in a timely manner. LPA interviewed multiple staff members, and multiple residents. None of the interviewees stated medication is not be administered in a timely manner. Interviewees did not state any concerns regarding the allegation listed above.

Exit interview was conducted and a copy of this report LIC9099 was provided to Sister Lucinda Foncesa.

SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna MirandaTELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2