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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547208849
Report Date: 04/26/2022
Date Signed: 04/26/2022 07:14:38 PM

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
10/19/2021 and conducted by Evaluator Kelly J. McClurg
COMPLAINT CONTROL NUMBER: 24-AS-20211019112021
FACILITY NAME:GLORY DAYS ASSISTED LIVING INCFACILITY NUMBER:
547208849
ADMINISTRATOR:AGUILAR, MELINDAFACILITY TYPE:
740
ADDRESS:1303 S. PINKAM STTELEPHONE:
(559) 625-1452
CITY:VISALIASTATE: CAZIP CODE:
93292
CAPACITY:10CENSUS: 10DATE:
04/26/2022
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Administrator (Admin) Melinda Aguilar;TIME COMPLETED:
07:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not assisting residents with bathing needs.
Staff do not have required criminal record clearances.
Staff do not have required health screenings.
Facility is not providing special diets to residents with health needs.
Staff are not trained on safe food-handling procedures.
Administrator is not present enough to properly manage facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
A Complaint visit was conducted on the date & times indicated above.

Facility tour, review of allegations, & documentation done & reviewed.
Residents appear to be well groomed & clean. Bathing record indicates residents receive regular & as needed bathing. Criminal record clearances for staff. Health screenings on file for Staff 1(S1) & S2. Pureed diet provided to Resident 1 (R1). Food containers observed closed, labeled, dated & sufficient amount of food on premises. Food observed to be of good quality (i.e., fresh, not expired). Admin schedule 10am to 6/7pm & on-call. Licensee lives on premises.

The Department conducted an investigation on the above allegations & determined them to be unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Andy XiongTELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: Kelly J. McClurgTELEPHONE: (559) 246-0435
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
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 2
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
10/19/2021 and conducted by Evaluator Kelly J. McClurg
COMPLAINT CONTROL NUMBER: 24-AS-20211019112021

FACILITY NAME:GLORY DAYS ASSISTED LIVING INCFACILITY NUMBER:
547208849
ADMINISTRATOR:AGUILAR, MELINDAFACILITY TYPE:
740
ADDRESS:1303 S. PINKAM STTELEPHONE:
(559) 625-1452
CITY:VISALIASTATE: CAZIP CODE:
93292
CAPACITY:10CENSUS: 10DATE:
04/26/2022
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Administrator (Admin) Melinda Aguilar;TIME COMPLETED:
07:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Food served to residents is not of the quality to meet their needs.
Residents are not receiving clean linens.
Facility is dirty.
Facility is not carrying out activities.
Administrator is using facility resources for personal use.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Food observed to be of good quality (i.e., fresh, not expired) & appropriately stored. Clean linens observed on resident's beds & additional clean linen available. Facility appeared to be clean, without unpleasant odors, maintained & in good repair. Activities observed to be in progress (bingo) at time of investigation. Activities available posted. Sufficient amount of food on premises for residents & any use by Admin. Licensee maintains food supplies seperate from resident supply.

The Department has investigated the above allegations & determined them to be unfounded.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Andy XiongTELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: Kelly J. McClurgTELEPHONE: (559) 246-0435
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
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 2