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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 100404809
Report Date: 01/26/2026
Date Signed: 01/26/2026 11:49:35 AM

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
01/20/2026 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20260120094627
FACILITY NAME:PALM VILLAGE RETIREMENT COMMUNITYFACILITY NUMBER:
100404809
ADMINISTRATOR:JIM HIGBEEFACILITY TYPE:
741
ADDRESS:703 WEST HERBERT AVENUETELEPHONE:
(559) 638-6933
CITY:REEDLEYSTATE: CAZIP CODE:
93654
CAPACITY:262CENSUS: 66DATE:
01/26/2026
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Administrator, Karly AlcantarTIME COMPLETED:
11:57 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are not properly addressing roaches in the facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/26/26 Licensing Program Analyst (LPA) M. Garza completed an unannounced initial complaint visit. LPA met with Administrator, Karly Alcantar explained reason for visit and was permitted entry into the facility. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. Residents observed in common areas and in their rooms.

During the complaint visit LPA requested and reviewed documentation (staff and resident rosters, pest control receipts, housekeeping, dining and maintenance logs, cleaning schedule, staff schedule, community room schedule and completed interviews. Although the allegation may or may not have occurred, the preponderance of evidence standard has not been met per California Code of Regulations, Title 22. No deficiencies cited during today’s visit.

Exit interview conducted with Administrator, Karly. A copy of this report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
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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