107209348-1-20-2026-24-AS-SPIY-DQJSYD-20260121131723

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107209348
Report Date: 01/20/2026
Date Signed: 01/20/2026 09:28:42 AM

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
08/01/2025 and conducted by Evaluator Daiquiri Boyd

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20250801141335

FACILITY NAME:	FRESNO GUEST HOME #19		FACILITY NUMBER:	107209348
ADMINISTRATOR:	KUTNERIAN, ANGELICA		FACILITY TYPE:	740
ADDRESS:	2149 E MENLO AVE		TELEPHONE:	(559) 434-1839
CITY:	FRESNO	STATE: CA	ZIP CODE:	93710
CAPACITY:	6	CENSUS: 6	DATE:	01/20/2026
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Teresa Long		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Staff did not answer the phone in a timely manner
Staff did not respond to call bells in a timely manner

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 allegations: Facilty staff did not answer the phone in a timely manner and did not respond to call bells in a timely manner. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. 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: 01/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2026

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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