247209172-2-27-2025-24-AS-SPIY-DGFU69-20250507151758

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 247209172
Report Date: 02/12/2025
Date Signed: 02/27/2025 02:21:45 PM

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
02/07/2025 and conducted by Evaluator Rachel A Bruce

COMPLAINT CONTROL NUMBER: 24-AS-20250207081803

FACILITY NAME:	VALLEY SPRING MEMORY CARE		FACILITY NUMBER:	247209172
ADMINISTRATOR:	REYNAGA, ELIZABETH		FACILITY TYPE:	740
ADDRESS:	555 MILLER LANE		TELEPHONE:	(209) 710-4783
CITY:	LOS BANOS	STATE: CA	ZIP CODE:	93635
CAPACITY:	50	CENSUS: 27	DATE:	02/12/2025
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Elizabeth Reynaga, Administrator		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff did not seek timely medical care for residents in care
Staff hit resident in care

INVESTIGATION FINDINGS:

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On February 12, 2025, Licensing Program Analyst (LPA) Rachel Bruce conducted a visit to the facility for the purpose of delivering the findings on the above allegations.

During the course of this investigation LPA reviewed facility files, toured facility, and conducted interviews relevant to the complaint investigation. Based on the investigative information it was determined that the above allegations: Staff did not seek timely medical care for residents in care - This was referring to two clients that were allegedly not taken to the doctor. In both cases interviews and medical records provided evidence to the contrary. Staff hit resident in care- this was referring to an incident where a resident threw a slipper at another resident. Although it was unwitnessed, police report and interview statements indicate it was resident to resident and no staff was involved or even present at the incident. Bot allegations are UNFOUNDED. This agency has investigated the complaint allegations and have found them to be unfounded. Therefore we have dismissed the complaint.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Sergiy Pidgirny	TELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Rachel A Bruce	TELEPHONE: (559) 470-9001
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025

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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