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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547209600
Report Date: 05/06/2026
Date Signed: 05/06/2026 11:56:41 AM

Substantiated


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
03/24/2026 and conducted by Evaluator Brianna Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260324170734
FACILITY NAME:ST MICHAEL ASSISTED LIVINGFACILITY NUMBER:
547209600
ADMINISTRATOR:KUMAR,HARMESHFACILITY TYPE:
740
ADDRESS:550 N LILLIE AVETELEPHONE:
(505) 607-1920
CITY:DINUBASTATE: CAZIP CODE:
93618
CAPACITY:49CENSUS: 19DATE:
05/06/2026
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Administrator Harmesh KumarTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff made an inappropriate comment to a resident in care.
INVESTIGATION FINDINGS:
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On May 6, 2026 Licensing Program Analyst (LPA) B. Miranda and Licensing Program Manager (LPM) A. Walton arrived at the facility unannounced to deliver findings for the allegation listed above. LPA & LPM met with Administrator Harmesh Kumar.

Regarding the allegation: Staff made an inappropriate comment to a resident in care. The Dept conducted multiple interviews and was informed staff make inappropriate comments to residents in care.

Based on interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8, Article 8, is being cited on the attached LIC 9099D.

Exit interview was conducted, and a of this report LIC9099, LIC9099D, and appeal rights were provided to Administrator Harmesh Kumar.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026
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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Control Number 24-AS-20260324170734
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: ST MICHAEL ASSISTED LIVING
FACILITY NUMBER: 547209600
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2026
Section Cited
CCR
87468.1(a)(1)
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87468.1 Personal Rights of Residents in All Facilities
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:
(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.

This requirement is not met as evidenced by:
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Licensee will conduct staff training on Personal Rights and Mandated Reporting. Verification of training and staff attendance will be provided to the Dept by POC due date.
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Based on observation & interview, the facility did not comply with the regulation listed above due to multiple interviewees stating staff inappropriately speak to residents in care, which poses a potential health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026
LIC9099 (FAS) - (06/04)
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