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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107204170
Report Date: 04/17/2025
Date Signed: 04/17/2025 12:41:41 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
03/05/2025 and conducted by Evaluator Daiquiri Boyd
COMPLAINT CONTROL NUMBER: 24-AS-20250305161145
FACILITY NAME:FRESNO GUEST HOME #6FACILITY NUMBER:
107204170
ADMINISTRATOR:KUTNERIAN, ANGELICAFACILITY TYPE:
740
ADDRESS:2267 E. PALO ALTOTELEPHONE:
(559) 434-1839
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY:6CENSUS: 6DATE:
04/17/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Teresa LongTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Licensee does not ensure that resident's care needs are being met while in care
Licensee does not ensure that waste at the facility is handled in a manner that does not pose a health or safety risk to resident in care
Staff do not accord dignity to resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Daiquiri Boyd conducted the complaint investigation visit to the facility. During this visit LPA delivered investigation findings regarding the above allegations. The Department has investigated the complaint alleging: Licensee does not ensure that resident's care needs are being met while in care, Licensee does not ensure that waste at the facility is handled in a manner that does not pose a health or safety risk to resident in care, and that staff do not accord dignity to resident in care. Based on the interviews conducted and facility records reviewed, the above allegation is UNSUBSTANTIATED. Through interviews, staff confirmed their responsibilities for providing care and dignity and reported that they attended to residents as required, which is contrary to allegations and statements made by complaint report. LPA could not confirm through evidence, that resident's needs were not met, that resident was not afforded dignity, or that waste was mishandled. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Daiquiri Boyd
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
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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