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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209324
Report Date: 03/27/2026
Date Signed: 03/27/2026 10:17:30 AM

Unfounded


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
02/05/2026 and conducted by Evaluator Martin Vega
COMPLAINT CONTROL NUMBER: 24-AS-20260205114020
FACILITY NAME:GROVE, THEFACILITY NUMBER:
107209324
ADMINISTRATOR:BREWER, NORSHELLFACILITY TYPE:
740
ADDRESS:7444 NORTH CEDAR AVETELEPHONE:
(801) 815-0808
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:130CENSUS: 77DATE:
03/27/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Executive Director - Norshell BrewerTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff did not comply with reporting requirements.
Staff did not provide requested record(s) to resident’s representative in a timely manner.
Neglect/ Lack of care and/or supervision resulting in resident's R1 AWOL (Absent Without Leave)
INVESTIGATION FINDINGS:
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On 03/27/2026 Licensing Program Analyst (LPA) M Vega conducted an unannounced complaint investigation visit for the purpose of delivering the finding for the above allegations. LPA met with Executive Director - Norshell Brewer.
During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegations: Staff did not comply with reporting requirements, Staff did not provide requested record(s) to resident’s representative in a timely manner and Neglect/ Lack of care and/or supervision resulting in resident's R1 AWOL (Absent Without Leave) are found to be UNFOUNDED.
Staff respond appropriately to incident involving resident. Report was filed and Due to memory/dementia issues it is unpredictable when resident’s may act out, but it is not due to lack of supervision. Based on the investigation it has been determined the allegations are UNFOUNDED meaning that the allegations were false, could not have happened or are without a reasonable basis. The complaint has therefore been dismissed.
An exit interview was conducted a copy of the report provided to the administrator.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Martin Vega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026
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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