275202407-4-24-2024-24-AS-BCHN-D6LPNX-20240626112840

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 275202407
Report Date: 04/24/2024
Date Signed: 04/24/2024 07:21:40 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
02/21/2024 and conducted by Evaluator Brianna Miranda

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20240221163511

FACILITY NAME:	MONTEREY BAY GUEST HOME		FACILITY NUMBER:	275202407
ADMINISTRATOR:	EMMANUEL & JENNIFER INNEH		FACILITY TYPE:	735
ADDRESS:	1100 CARSON STREET		TELEPHONE:	(831) 920-1796
CITY:	SEASIDE	STATE: CA	ZIP CODE:	93955
CAPACITY:	22	CENSUS: 14	DATE:	04/24/2024
		UNANNOUNCED	TIME BEGAN:	10:12 AM
MET WITH:	Staff Larry Rimas		TIME COMPLETED:	01:10 PM

ALLEGATION(S):

1
2
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7
8
9

Illegal Eviction

INVESTIGATION FINDINGS:

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5
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9
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13

On 4/24/24 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to deliver the findings for the allegation(s) listed above. LPA introduced herself and explained the reason for the visit. Licensee Emmanuel Inneh was contacted and report was reviewed with licensee via phone.
The facility was not toured at this time due to the purpose of the visit was to deliver findings for the allegations listed above.

1. The Department investigated the allegation: Illegal Eviction. Multiple interviews were conducted and records were reviewed. R1 returned to the facility after their stay in the hospital.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted and a copy of this report LIC9099 was proved to staff Larry Rimas.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024

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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