547209220-5-21-2026-24-AS-SMOA-DUJS88-20260529133842

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 547209220
Report Date: 05/21/2026
Date Signed: 05/21/2026 03:02:46 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
04/29/2026 and conducted by Evaluator Mai Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20260429115925

FACILITY NAME:	JEFFRIES HOME RCFE		FACILITY NUMBER:	547209220
ADMINISTRATOR:	SEARCY, KIM		FACILITY TYPE:	740
ADDRESS:	2545 W WHITE CHAPEL AVE		TELEPHONE:	(559) 359-3671
CITY:	PORTERVILLE	STATE: CA	ZIP CODE:	93257
CAPACITY:	6	CENSUS: 5	DATE:	05/21/2026
		UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Licensee Jennifer Jeffries		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff do not ensure that client's hygiene needs are met
Staff do not follow client's special diet
Staff do not ensure client's medication is taken as prescribed
Staff confiscated resident's phone

INVESTIGATION FINDINGS:

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On 05/21/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings. LPA introduced self, stated the purpose of the visit, and met with staff Haze Torres. Licensee Jennifer Jeffries was called and authorized staff to sign report. LPA discuss findings with Licensee via telephone.

During the course of the investigation, the Department conducted interviews, obtained copies of records, and toured the facility. The facility provides a cellphone for all clients to use. R1 no longer resides at the facility. Therefore, based on interviews conducted and records reviewed, the allegations alleging staff did not ensure the client’s hygiene needs are met, staff did not follow the client’s special diet, staff did not ensure mediations are taken as prescribed and staff confiscated R1’s phone, the preponderance of evidence standard has not been met. The above allegations are found to be UNSUBTANTIATED. Exit interview conducted. A copy of this report was provided to Licensee via email as requested.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026

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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