107206933-12-15-2022-24-AS-SPIY-CMDMUA-20221223085449

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107206933
Report Date: 12/15/2022
Date Signed: 12/15/2022 11:52:18 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/13/2022 and conducted by Evaluator Katie Brown

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20220913120040

FACILITY NAME:	VICTORIA'S CARE HOME		FACILITY NUMBER:	107206933
ADMINISTRATOR:	GITTI, JOSEPH		FACILITY TYPE:	740
ADDRESS:	6736 N WESTERN AVE		TELEPHONE:	(408) 482-6166
CITY:	FRESNO	STATE: CA	ZIP CODE:	93722
CAPACITY:	6	CENSUS: 6	DATE:	12/15/2022
		UNANNOUNCED	TIME BEGAN:	09:27 AM
MET WITH:	Joseph Gitti		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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9

Neglect and/or Lack of Care and Supervision

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Katie Brown arrived unannounced at the facility to deliver complaint findings. LPA met with Joseph Gitti.

This Agency has investigated the allegation listed above. Based on Observation and interview, the facility has supplies and procedures in place to meet the care and supervision needs of the residents. The above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur.

There were no citations issued. An exit interview was conducted and a copy of this report was left with Joseph Gitti, whose signature confirms receipt of these documents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Katie Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022

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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