<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547209124
Report Date: 12/11/2024
Date Signed: 12/11/2024 10:44:54 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
11/26/2024 and conducted by Evaluator Alexandria Walton
COMPLAINT CONTROL NUMBER: 24-AS-20241126000053

FACILITY NAME:GURROLA CARE HOME #6FACILITY NUMBER:
547209124
ADMINISTRATOR:DURAN, ANDREAFACILITY TYPE:
735
ADDRESS:343 S. MIRAGETELEPHONE:
(559) 719-7484
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY:4CENSUS: 4DATE:
12/11/2024
UNANNOUNCEDTIME BEGAN:
10:14 AM
MET WITH:Administrator, Andrea DuranTIME COMPLETED:
10:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure that resident had appropriate clothing to wear
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/11/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Administrator, Andrea Duran. LPA met with Administrator.

During the course of the investigation, LPA conducted a facility tour and conducted staff and resident interviews. During the facility tour, LPA observed an adquate supply of winter clothing. Resident interviews revealed that R1 has "some" winter clothing. LPA observed R1 to be appropraitely dressed for current weather conditions.

Based on a observations and interviews, the allegation: Staff did not ensure that resident had appropriate clothing to wear, is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Andrea Duran. whose signature will confirm receipt of this document.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
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