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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275202480
Report Date: 01/16/2026
Date Signed: 01/16/2026 04:09:34 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
10/09/2025 and conducted by Evaluator Martin Vega
COMPLAINT CONTROL NUMBER: 24-AS-20251009152556
FACILITY NAME:CARMELO PARKFACILITY NUMBER:
275202480
ADMINISTRATOR:MAZERIK, MATTHEWFACILITY TYPE:
740
ADDRESS:966 CARMELO STREETTELEPHONE:
(831) 375-0665
CITY:MONTEREYSTATE: CAZIP CODE:
93940
CAPACITY:40CENSUS: 25DATE:
01/16/2026
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Administrator - Matthew MazerikTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
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9
Staff neglect resulted in a resident sustaining multiple pressure injuries
INVESTIGATION FINDINGS:
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2
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9
10
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13
On 01/16/2026, Licensing Program Analyst (LPA) M Vega arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Administrator - Matthew Mazerik. LPA met with Administrator.

During the course of the investigation, LPA conducted a facility tour and conducted resident interviews. Resident interviews revealed that residents are not neglected. Documents reveal that care was and is being provided to residents in care.

This agency has investigated the complaint alleging: “Staff neglect resulted in a resident sustaining multiple pressure injuries”. We have found that the complaint was UNFOUNDED, meaning the alleged violation is false, could not have happened and/or is without a reasonable basis.

No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Administrator - Matthew Mazerik, whose signature will confirm receipt of this document.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Martin Vega
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026
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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