547202809-5-17-2023-24-AS-SMOA-CRYLLW-20230519085148

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 547202809
Report Date: 05/17/2023
Date Signed: 05/17/2023 11:52:06 AM

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
05/15/2023 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20230515092004

FACILITY NAME:	TRANSITIONAL LIVING CENTER		FACILITY NUMBER:	547202809
ADMINISTRATOR:	LEIGH (CABEJE), TAMARA		FACILITY TYPE:	735
ADDRESS:	546 E. TULARE AVENUE		TELEPHONE:	(559) 733-6648
CITY:	VISALIA	STATE: CA	ZIP CODE:	93292
CAPACITY:	38	CENSUS: 33	DATE:	05/17/2023
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Administrator Tamara Leigh		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Resident smokes cigarettes on the premises
Staff failed to provide a safe and comfortable environment for residents

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 05/17/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial complaint inspection. LPA met with Administrator Tamara Leigh and announced the purpose of the visit. LPA discussed the above allegations with Administrator and delivered the complaint findings.

LPA toured the facility, conducted interviews, and obtained records. Upon notice of client 1 (C1) smoking in client’s own room and wondering into other client’s room, the facility had reviewed the house rules with C1. The facility immediately took proper measures to ensure safety of all clients in care and increase client supervision. Therefore, based on the records reviewed and interviews that were conducted the above allegations is founded to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

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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