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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547209004
Report Date: 06/11/2022
Date Signed: 06/11/2022 12:32:09 PM

Unfounded


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
06/10/2022 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20220610091929
FACILITY NAME:QUAIL PARK AT SHANNON RANCHFACILITY NUMBER:
547209004
ADMINISTRATOR:MOYER, JEFFFACILITY TYPE:
740
ADDRESS:3330 & 3440 W FLAGSTAFF AVETELEPHONE:
(559) 527-8245
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:150CENSUS: 79DATE:
06/11/2022
UNANNOUNCEDTIME BEGAN:
10:57 AM
MET WITH:Executive Chef Miguel LopezTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
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9
Facility air conditioner is in disrepair
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
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9
10
11
12
13
Licensing Program Analysts (LPA) Shawna Doucette contacted the facility to commence a complaint investigation. LPA conducted a visit and took COVID-19 pre-cautionary measures. LPA identified herself and was met by Staff Deborah Nungaray. LPA explained the purpose of the visit with Executive Chef Miguel Lopez. LPA contacted Administrator Jeff Moyer via phone who advised Executive Chef Miguel would assist with the visit.

LPA toured the facility and took photos of the thermostats on the first and second floor of the facility. LPA interviewed staff. Although there was an issue with the air conditioner the facility had the issue fixed and provided cooling units for the rooms to assist with cooling. LPA was at the facility on 6/7/22 and found the termperature to be comfortable in the facility.

Based on interviews, this agency has investigated the complaint alleging Facility air conditioner is in disrepair. We have found that the complaint was UNFOUNDED, therefore we have dismissed the complaint.

An exit interview was conducted and a copy of this report was provided.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Shawna DoucetteTELEPHONE: (559) 580-4595
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2022
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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