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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547208237
Report Date: 08/18/2023
Date Signed: 08/18/2023 09:57:14 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/08/2023 and conducted by Evaluator Les Xiong
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20230808091824
FACILITY NAME:RICO RESIDENTIAL FACILITY #2FACILITY NUMBER:
547208237
ADMINISTRATOR:RICO, DIANA OFACILITY TYPE:
735
ADDRESS:1187 N HOWLAND STTELEPHONE:
(559) 793-4110
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:6CENSUS: 4DATE:
08/18/2023
UNANNOUNCEDTIME BEGAN:
08:09 AM
MET WITH:Dexter SavageTIME COMPLETED:
10:25 AM
ALLEGATION(S):
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Drug activity on the premises.
Staff failed to provide a safe and comfortable environment for residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) L. Xiong conducted complaint investigation visit to the facility. I met with staff Dexter Savage and spoke to Administrator Diana Rico and informed them the purpose of the visit. During the course of this complaint investigation LPA interviewed the administrator and obtained other records pertinent to the allegations. It was determined based on the interview and record obtained that the above allegations were SUBSTANTIATED. The evidence from the investigation indicated that the alleged allegations did take place in the above facility. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.”)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023
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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Control Number 24-AS-20230808091824
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: RICO RESIDENTIAL FACILITY #2
FACILITY NUMBER: 547208237
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/19/2023
Section Cited
CCR
80087(a)
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(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. During the investigation, LPA observed Significant other of staff (S1) did engaged in drug paraphernalia at the facility, and thus fail to provide a safe environment for the residents in care.
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Per Administrator, After Administrator became aware of the incident, a meeting was scheduled with the involved staff (S1) and administrator before coming back to work. The staff didn't show up for the meeting, continue contact was unsucessful and staff never return to work.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2