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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547209133
Report Date: 01/25/2024
Date Signed: 01/25/2024 04:08:36 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
11/07/2023 and conducted by Evaluator Les Xiong
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20231107104939
FACILITY NAME:SEARCY HOME #2FACILITY NUMBER:
547209133
ADMINISTRATOR:SEARCY, KIMBERLYFACILITY TYPE:
735
ADDRESS:2318 W. BEL AIRE COURTTELEPHONE:
(559) 361-1732
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:4CENSUS: 3DATE:
01/25/2024
UNANNOUNCEDTIME BEGAN:
04:20 PM
MET WITH:Jessica CulbersonTIME COMPLETED:
04:37 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility unlawfully evicted resident
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. I met with House Manager Jessica Culberson and spoke to licensee/administrator Kimberly Searcy and inform her the purpose of the visit. During this visit LPA delivered investigation finding regarding the above allegation. The Department has investigated the complaint alleging: Facility unlawfully evicted resident. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
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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