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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275200250
Report Date: 03/06/2025
Date Signed: 04/21/2025 08:37:30 AM

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
02/10/2025 and conducted by Evaluator Sarah Hurt
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250210120812
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:
03/06/2025
UNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:Licensee, Honesto Fernandez TIME COMPLETED:
06:30 PM
ALLEGATION(S):
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Staff do not follow infection control procedures
Staff do not maintain facility in sanitary condition
Staff do not meet residents' dietary needs
Staff do not provide resident with laundry service
Staff did not safeguard resident's personal belongings
Staff do not provide resident with housekeeping services
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 do not follow infection control procedures.The licensee is following infection control procedures. The facility bathroom trashes have lids and are in compliance within Title 22 regulations. 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.

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

DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
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 4
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
02/10/2025 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20250210120812

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:
03/06/2025
UNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:Licensee, Honesto Fernandez TIME COMPLETED:
06:30 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Staff spoke inappropriately to resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegation listed above. LPA met with facility Licensee Honesto Fernandez and explained the purpose of today's visit.

Regarding the allegation staff spoke inappropriately to resident. Staff 1 admittedly raised their voice at Resident 1 with other residents present. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficiencies are being cited Per Title 22 Regulations.

Exit interview conducted with facility Licensee, Honesto Fernandez, and copy of report provided


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

DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 24-AS-20250210120812
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/07/2025
Section Cited
CCR
80072(a)(1)
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80072 Personal Rights(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:(1) To be accorded dignity in his/her personal relationships with staff and other persons. The following regulation has not been met as evidenced by:
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Licensee will submit proof of Personal rights training to LPA Hurt by POC date 03/07/2025.
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Staff 1 admitted to raising their voice at Resident 1 while other facility residents were in the facility, which poses a potential, health, safety, or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 24-AS-20250210120812
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: 03/06/2025
NARRATIVE
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Regarding the allegation Staff do not maintain facility in sanitary condition. LPA observed the facility to be clean and in good repair. Resident 1 admitted they often refuse Staff 1, and staff 2 to enter their room to provide services including food, laundry, and housekeeping services. 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 do not meet residents' dietary needs. Staff 1 stated Resident 1 refuses to speak to them including to communicate their meal requests. Resident 1 admitted they often refuse Staff 1, and staff 2 to enter their room to provide services including food, laundry, and housekeeping services. 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 do not provide resident with laundry service. Staff 1 stated Resident 1 is refusing to allow them inside their room to collect laundry to be washed. Resident 1 admitted they often refuse Staff 1, and staff 2 to enter their room to provide services including food, laundry, and housekeeping services. 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 did not safeguard resident's personal belongings. There is no evidence the Staff 1 tampered with Resident 1's safeguarded personal belongings. 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 do not provide resident with housekeeping services. Staff 1 stated Resident 1 does not allow them inside their room to provide housekeeping services. Resident 1 admitted they often refuse Staff 1, and staff 2 to enter their room to provide services including food, laundry, and housekeeping services. 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.

No deficiencies cited 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: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4