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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547209031
Report Date: 01/28/2025
Date Signed: 01/28/2025 11:25:40 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
01/22/2025 and conducted by Evaluator Les Xiong
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250122152352
FACILITY NAME:WIGGINS HOME 3FACILITY NUMBER:
547209031
ADMINISTRATOR:BOYD, ELYSIAFACILITY TYPE:
740
ADDRESS:677 S SIERRA STREETTELEPHONE:
(559) 783-0732
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:6CENSUS: 6DATE:
01/28/2025
UNANNOUNCEDTIME BEGAN:
10:17 AM
MET WITH:Elysia BoydTIME COMPLETED:
11:48 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff pinch residents
Facility staff verbally abuse residents
Facility staff force residents to eat meals
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility.
During the course of this investigation LPA interviewed staff and resident, and reviewed facility files relevant to the complaint investigation. It was determined that the above allegation: Facility staff pinch residents, Facility staff verbally abuse residents, and Facility staff force residents to eat meals are UNFOUNDED. The evidence from the investigation indicated facility staff did not physically or verbally abuse residents. Facility staff did not force fed resident. This agency has investigated the complaint alleging (Facility staff pinch residents, Facility staff verbally abuse residents, and Facility staff force residents to eat meals). We have found that the complaint was unfounded, therefore we have dismissed the complaint.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) -34-3274
LICENSING EVALUATOR NAME: Les XiongTELEPHONE: 559-410-1772
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
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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