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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 247209172
Report Date: 03/05/2026
Date Signed: 03/05/2026 07:03:17 PM

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
02/05/2026 and conducted by Evaluator Brianna Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260205081606
FACILITY NAME:VALLEY SPRING MEMORY CAREFACILITY NUMBER:
247209172
ADMINISTRATOR:REYNAGA, ELIZABETHFACILITY TYPE:
740
ADDRESS:555 MILLER LANETELEPHONE:
(209) 710-4783
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY:50CENSUS: 23DATE:
03/05/2026
UNANNOUNCEDTIME BEGAN:
03:19 PM
MET WITH:Administrator Elizabeth ReynagaTIME COMPLETED:
07:00 PM
ALLEGATION(S):
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Staff member worked while under the influence of drugs, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care
Staff does not provide adequate shower service
Staff does not provide adequate food service
Staff interact inappropriately with residents
INVESTIGATION FINDINGS:
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On March 5, 2026 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to deliver finding for the allegations listed above. LPA met with Interim Executive Director Natalie Levario and Administrator Elizabeth Reynaga.

The Department has investigated the allegation of: Staff member worked while under the influence of drugs, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care. LPA conducted multiple interviews which had conflicting information regarding staff being under the influence while at work.

The Department has investigated the allegation of: Staff does not provide adequate shower service. LPA conducted multiple interviews and was provided conflicting information regarding residents not being showered properly.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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-20260205081606
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: VALLEY SPRING MEMORY CARE
FACILITY NUMBER: 247209172
VISIT DATE: 03/05/2026
NARRATIVE
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The Department has investigated the allegation of: Staff does not provide adequate food service. LPA conducted multiple interviews and was not informed of any issues with the food service.


The Department has investigated the allegation of: Staff interact inappropriately with residents. LPA conducted multiple interviews and was provided conflicting information. LPA was not provided sufficient information.

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, therefore the allegations are unsubstantiated.

Exit interview was conducted and a copy of this report LIC809 was provided to Administrator Elizabeth Reynaga.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2