<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107203196
Report Date: 05/14/2025
Date Signed: 05/22/2025 12:23:42 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
02/11/2025 and conducted by Evaluator Sarah Hurt
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250211173533
FACILITY NAME:CARING HEART-EVERGLADEFACILITY NUMBER:
107203196
ADMINISTRATOR:RAMIREZ, CLEOFACILITY TYPE:
740
ADDRESS:2862 EVERGLADETELEPHONE:
(559) 325-5797
CITY:CLOVISSTATE: CAZIP CODE:
93619
CAPACITY:6CENSUS: 5DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
05:30 PM
MET WITH:Administrator, Cleopatra RamirezTIME COMPLETED:
07:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Questionable death.
Staff are not following general food service requirements
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sarah Hurt and Martin Vega arrived at the facility unannounced on May 14, 2025 to deliver findings the above allegations. LPA met with Administrator Cleopatra Ramirez, and explained the purpose for today’s visit.

Regarding the allegation Questionable death. Resident 1 was admitted to Medical Center on 01/23/2025 after experiencing a syncopal episode. Despite medical intervention, Resident 1 was placed on comfort care and passed away, and a urinary tract infection (UTI) listed as the cause of death. Resident 1’s Physician believed the facility staff were not neglectful. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Continued...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 24-AS-20250211173533
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: CARING HEART-EVERGLADE
FACILITY NUMBER: 107203196
VISIT DATE: 05/14/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Regarding the allegation Staff are not following general food service requirements. Based on observation, and interviews this facility is following general food service requirements. LPA's observed fresh fruit in the fridge and on the counter tops. LPA's interviewed two facility residents who both stated they are happy with the quality of food being served at the facility.Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies are being cited Per Title 22 Regulations. Exit interview conducted with Administrator Cleopatra Ramirez, and a copy of this report along with appeals rights provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
02/11/2025 and conducted by Evaluator Sarah Hurt
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250211173533

FACILITY NAME:CARING HEART-EVERGLADEFACILITY NUMBER:
107203196
ADMINISTRATOR:RAMIREZ, CLEOFACILITY TYPE:
740
ADDRESS:2862 EVERGLADETELEPHONE:
(559) 325-5797
CITY:CLOVISSTATE: CAZIP CODE:
93619
CAPACITY:6CENSUS: 5DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
05:30 PM
MET WITH:Administrator, Cleopatra RamirezTIME COMPLETED:
07:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did ensure equipment used for residents were free of mold.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sarah Hurt and Martin Vega arrived at the facility unannounced on May 14, 2025 to deliver findings the above allegations. LPA met with Administrator Cleopatra Ramirez, and explained the purpose for today’s visit.

Regarding the allegation Staff did ensure equipment used for residents were free of mold. The facility bathroom across from the washer/ dryer room does have a bathroom mat with mold. Based on observation the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficiencies are being cited Per Title 22 Regulations. Exit interview conducted Administrator, Cleopatra Ramirez, and a copy of this report along with appeals rights provided.



Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 24-AS-20250211173533
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: CARING HEART-EVERGLADE
FACILITY NUMBER: 107203196
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/28/2025
Section Cited
CCR
87303(a)(5)(A)
1
2
3
4
5
6
7
87303Maintenance and Operation(a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.(5)Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors.(A)All slip-resistant mats, strips, or flooring shall be in good repair and maintain slip-resistant properties. The following requirement has not been met as evidenced by:
1
2
3
4
5
6
7
Administrator stated she will throw away the moldy facility mad and purchase new, and send proof to LPA by POC date of 05/28/2025.
8
9
10
11
12
13
14
LPA's observed the bathroom in the hallway near the washer, and dryer room does appear to have mold, which poses a potential, healthy, safety, or personal rights risk to residents in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4