547206596-12-2-2024-24-AS-SMOA-DBWL2K-20241213072224

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 547206596
Report Date: 12/02/2024
Date Signed: 12/02/2024 02:48:04 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
08/05/2024 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20240805092419

FACILITY NAME:	QUAIL PARK MEMORY CARE RESIDENCES		FACILITY NUMBER:	547206596
ADMINISTRATOR:	OTERO-GROSS, LENETTE		FACILITY TYPE:	740
ADDRESS:	5050 TULARE AVENUE		TELEPHONE:	(559) 624-3560
CITY:	VISALIA	STATE: CA	ZIP CODE:	93277
CAPACITY:	44	CENSUS: 26	DATE:	12/02/2024
		UNANNOUNCED	TIME BEGAN:	09:13 AM
MET WITH:	Executive Director Lauri Aguilar		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Licensee does not ensure that there is sufficient staffing to meet the needs of residents in care.
Residents are sustaining falls due to lack of staff supervision.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced for subsequent complaint inspection. LPA met with Executive Director Lauri Aguilar and discussed the purpose of the visit and the elements of the allegations. LPA delivered the following findings.

The Department investigated the allegations listed above. Based on interviews conducted and records reviewed the facility had sufficient staffing to provide care although staff needs were changing due to census. Based on records reviewed no major raise in falls was found.

Based on these findings, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: See Moua	TELEPHONE: (559) -58-4596
LICENSING EVALUATOR NAME: Kamaldeep Kaur	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024

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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