107209302-9-7-2023-24-AS-SPIY-CVMU4P-20230913151527

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107209302
Report Date: 09/07/2023
Date Signed: 09/07/2023 05:13:01 PM

Unfounded

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
05/30/2023 and conducted by Evaluator Les Xiong

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230530095520

FACILITY NAME:	VELA SUITES		FACILITY NUMBER:	107209302
ADMINISTRATOR:	GRICE, SASHEILA		FACILITY TYPE:	740
ADDRESS:	6572 NORTH MARIPOSA ST.		TELEPHONE:	(559) 438-0980
CITY:	FRESNO	STATE: CA	ZIP CODE:	93710
CAPACITY:	6	CENSUS: 5	DATE:	09/07/2023
		UNANNOUNCED	TIME BEGAN:	03:26 PM
MET WITH:	Sasheila Grice		TIME COMPLETED:	05:27 PM

ALLEGATION(S):

1
2
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9

Staff spoke inappropriately to resident
Staff dispensed medication to a resident without a prescription

INVESTIGATION FINDINGS:

1
2
3
4
5
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9
10
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13

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Administrator Sasheila Grice and informed her the purpose of the visit.

During the course of this investigation LPA reviewed facility files and interview staff relevant to the complaint investigation. It was determined that the above allegation: Staff spoke inappropriately to resident, and Staff dispensed medication to a resident without a prescription are UNFOUNDED. The evidence from the investigation indicated the S1 didn't speak to resident R1 inappropiately and didn't give R1 any medication as allegated. This agency has investigated the complaint alleging (Staff spoke inappropriately to resident, and Staff dispensed medication to a resident without a prescription). We have found that the complaint was unfounded, therefore we have dismissed the complaint.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023

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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