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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547208819
Report Date: 06/19/2025
Date Signed: 06/23/2025 04:20:28 PM

Substantiated


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
02/18/2025 and conducted by Evaluator Sarah Hurt
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250218012700
FACILITY NAME:PATRIOT IN THE WESTFACILITY NUMBER:
547208819
ADMINISTRATOR:DARLENE HATHCOCKFACILITY TYPE:
735
ADDRESS:3702 N SALLEE STREETTELEPHONE:
(559) 733-3631
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:4CENSUS: 3DATE:
06/19/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator Darlene HathcockTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff did not properly address a client's change in condition while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings allegations above. LPA met with facility Administrator Darlene Hathcock, and explained the purpose of today's visit.

Regarding the allegation Staff did not properly address a client's change in condition while in care. Resident 1 was admitted to the hopsital on 02/04/2025. Hospital intake records include a statement from facility staff indicating Resident 1 had been experiencing cough symptoms for several days prior to hospitalization. Resident 1's condition should have been addressed the day they began coughing. Based on records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Exit interview conducted with facility Administrator Darlene Hathcock, and copy of report provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
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
02/18/2025 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20250218012700

FACILITY NAME:PATRIOT IN THE WESTFACILITY NUMBER:
547208819
ADMINISTRATOR:DARLENE HATHCOCKFACILITY TYPE:
735
ADDRESS:3702 N SALLEE STREETTELEPHONE:
(559) 733-3631
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:4CENSUS: 3DATE:
06/19/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator Darlene HathcockTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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9
Staff did not seek timely medical attention or advice for a client
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings allegations above. LPA met with facility Administrator Darlene Hathcock, and explained the purpose of today's visit.

Regarding the allegation Staff did not seek timely medical attention or advice for a client. Resident 1 was released from the hospital to the facility on 01/31/2025. Resident 1 was admitted to the hospital again on 02/04/2025 with a cough and labored breathing. Hospital intake paperwork document the staff was aware of Resident 1's cough and possible change in condition. The facility staff not adressing Resident 1's condition has been adressed in an already substantiated similiar allegation in this same complaint. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted with facility Administrator Darlene Hathcock, and copy of report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 24-AS-20250218012700
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: PATRIOT IN THE WEST
FACILITY NUMBER: 547208819
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/20/2025
Section Cited
CCR
80075(a)
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80075 Health Related Services (a) The licensee shall ensure that each client receives necessary first aid and other needed medical or dental services, including arrangement for and/or provision of transportation to the nearest available services. The following requirement has not been met as evidenced by:
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Administrator will conduct training with facility staff on timely necessary medical care for residents and submit to LPA by POC date of 06/20/2025.
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Resident 1's hospital intake paperwork dated 02/04/2025 documents Resident 1 had cough symptoms for several days prior to being admitted on 02/04/2025, which poses an immediate health, safety, or personal rights risk to residents in care.
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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: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3