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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275202407
Report Date: 04/24/2024
Date Signed: 04/24/2024 07:20:46 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
03/28/2024 and conducted by Evaluator Brianna Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20240328152333
FACILITY NAME:MONTEREY BAY GUEST HOMEFACILITY NUMBER:
275202407
ADMINISTRATOR:EMMANUEL & JENNIFER INNEHFACILITY TYPE:
735
ADDRESS:1100 CARSON STREETTELEPHONE:
(831) 920-1796
CITY:SEASIDESTATE: CAZIP CODE:
93955
CAPACITY:22CENSUS: 14DATE:
04/24/2024
UNANNOUNCEDTIME BEGAN:
10:59 AM
MET WITH:Staff Larry RimasTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not treat residents head lice
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
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 allegation(s) listed above.

1. The Department investigated the allegation: Staff did not treat resident's head lice. Multiple interviews were conducted, and records reviewed at the facility on 4/2/24. Information was provided on how the situation regarding the lice infestation was being handled at that time. Residents who agreed were given haircuts and another resident was prescribed hair wash for the lice by their physician.
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 was provided 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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