547209546-3-12-2026-24-AS-SMOA-DTCSP3-20260421140227

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 547209546
Report Date: 03/12/2026
Date Signed: 03/12/2026 03:46:56 PM

Unsubstantiated

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
03/10/2026 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20260310082840

FACILITY NAME:	FIELDS FAMILY RESIDENTIAL VISALIA HOME		FACILITY NUMBER:	547209546
ADMINISTRATOR:	STOVALL, ARTAJA		FACILITY TYPE:	735
ADDRESS:	34009 RD 144		TELEPHONE:	(559) 931-5200
CITY:	VISALIA	STATE: CA	ZIP CODE:	93292
CAPACITY:	4	CENSUS: 4	DATE:	03/12/2026
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Shift Lead: Michelle Grant		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff did not prevent resident from wandering from the facility resulting in resident damaging property

INVESTIGATION FINDINGS:

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On 3/12/26 at 2:30pm Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with House Lead (HL) Michelle Grant. Administrator (A1) Artaja Stoval was not present during visit, however was reached via telephone.

The Department received and reviewed facility records, conducted interviews with staff, and residents.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to House Lead which confirms signature of this report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026

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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