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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275202549
Report Date: 05/31/2023
Date Signed: 06/29/2023 11:56:29 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
03/09/2023 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20230309094054
FACILITY NAME:MONTEREY BAY GUEST HOME #2FACILITY NUMBER:
275202549
ADMINISTRATOR:INNEH, EMMANUELFACILITY TYPE:
735
ADDRESS:645 WILLIAMS ROADTELEPHONE:
(831) 975-4970
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:40CENSUS: 38DATE:
05/31/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Facility Caregiver, Prescy PublicoTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident in care is being threatened with an illegal eviction
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 allegations listed above. LPA Hurt met with Facility Caregiver, Prescy Publico and explained the purpose of today's visit.
Regarding the allegation resident in care is being threatened with an illegal eviction. Resident 1 was never given a written eviction notice. Facility Administrator stated Resident 1 is currently living at the facility. Facility Adminsitrator stated he has no plan to evict Resident 1, and has never given them a written eviction notice. Reporting Party acknowledged during interviews conducted a written eviction was never given to Resident 1, and they are still living at the facility. Based on interviews conducted this allegation is UNSUBSTANTIATED. A finding that an allegation is Unsubstantiated means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No Deficincies Cites today Per Title 22 Regulations

Exit interview conducted with Facility Caregiver, Prescy Publico, and copy of report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
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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