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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275200250
Report Date: 11/09/2024
Date Signed: 11/17/2024 10:48:22 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
05/10/2024 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20240510084517
FACILITY NAME:FERNANDEZ GUEST HOUSEFACILITY NUMBER:
275200250
ADMINISTRATOR:HONESTO R. FERNANDEZFACILITY TYPE:
735
ADDRESS:1007 POLK STREETTELEPHONE:
(831) 443-8746
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:6CENSUS: 3DATE:
11/09/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Licensee, Honesto FernandezTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff yelled at resident.
Staff made inappropriate comments to residents.
Staff made resident feel uncomfortable.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegations listed above. LPA met with facility Licensee Honesto Fernandez , and explained the purpose of today's visit.

Regarding the allegation staff yelled at resident. Reporting Party stated facility staff yells at them, and other facility residents witnessed it and can provide details. LPA Hurt interviewed the two other facility residents/ witnesses who stated the Licensee's do not yell at them or any other residents in the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2024
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-20240510084517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: FERNANDEZ GUEST HOUSE
FACILITY NUMBER: 275200250
VISIT DATE: 11/09/2024
NARRATIVE
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Regarding the allegation Staff made inappropriate comments to residents. LPA Hurt interviewed Licensee who stated they have never made any inappropriate comments to facility residents. LPA Hurt interviewed three facility residents who all stated the Licensee is nice and have never seen them make any inappropriate comments to residents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation Staff made resident feel uncomfortable. LPA Hurt interviewed Licensee who stated they have never done anything to make facility residents feel uncomfortable. LPA Hurt interviewed three facility residents who all stated the Licensee does not make any residents feel uncomfortable and have never seen them do anything to make any facility residents uncomfortable. Although the allegation may have happened or do is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies cited today Per Title 22 Regulations.

Exit interview conducted with facility Licensee, Honesto Fernandez and copy of report provided
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2