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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547208825
Report Date: 12/16/2024
Date Signed: 12/16/2024 09:57:14 AM

Unsubstantiated


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
12/21/2023 and conducted by Evaluator Alexandria Walton
COMPLAINT CONTROL NUMBER: 24-AS-20231221081404
FACILITY NAME:PEOPLE'S CARE DAMSENFACILITY NUMBER:
547208825
ADMINISTRATOR:ALLEN, TARAFACILITY TYPE:
735
ADDRESS:6502 W DAMSEN AVETELEPHONE:
(559) 627-1281
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:4CENSUS: 0DATE:
12/16/2024
UNANNOUNCEDTIME BEGAN:
08:53 AM
MET WITH:Administrator, Gladys HernandezTIME COMPLETED:
09:09 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Questionable Death
Staff physically abused a client
Staff left client unattended in bathroom resulting in client falling
Staff verbally abused a client
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/16/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations. LPA contacted Director, Jose Marquez via telephone, introduced self, stated the purpose of the visit. Director gave verbal permission for LPA to meet with Administrator, Gladys Hernandez

The department has investigated and found that the allegations: Questionable Death; Staff physically abused a client; Staff left client unattended in bathroom resulting in client falling; Staff verbally abused a client are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies issued during today’s inspection.

Exit interview conducted. A copy of this report was discussed and provided to Administrator, Gladys Hernandez, whose signature on this form confirms receipt of this document.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024
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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