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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547208958
Report Date: 05/21/2024
Date Signed: 05/21/2024 12:07:11 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
03/06/2024 and conducted by Evaluator Kamaldeep Kaur
COMPLAINT CONTROL NUMBER: 24-AS-20240306090245

FACILITY NAME:VISALIA SENIOR LIVING CAREFACILITY NUMBER:
547208958
ADMINISTRATOR:RAMOS, ANGELAFACILITY TYPE:
740
ADDRESS:310 EAST ROBIN AVETELEPHONE:
(559) 747-2182
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:6CENSUS: 4DATE:
05/21/2024
UNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Licensee Angela Ramos TIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure that resident is being administered medications as prescribed.
Staff are not able to understand resident’s care needs due to language barrier.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit to deliver findings. LPA met with Licensee Angela Ramos and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings.

The Department investigated the allegations listed above. Based on interviews and record review the facility did not have accurate centrally stored records and Resident had been relocated at the time of initial licensing visit. Although some staff may have a language barrier; two staff are on duty per licensee. Based these records 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 MouaTELEPHONE: (559) -58-4596
LICENSING EVALUATOR NAME: Kamaldeep KaurTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
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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