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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209371
Report Date: 10/28/2025
Date Signed: 01/05/2026 02:11:46 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 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
05/30/2025 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20250530080715
FACILITY NAME:EVERGREEN COURTFACILITY NUMBER:
107209371
ADMINISTRATOR:ROYCHOUDHURY,MINAKSHIFACILITY TYPE:
740
ADDRESS:1415 WEST SCOTT AVENUETELEPHONE:
(559) 222-4876
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY:6CENSUS: 6DATE:
10/28/2025
UNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Licensee, Minakshi RoychoudhuryTIME COMPLETED:
03:29 PM
ALLEGATION(S):
1
2
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9
Licensee is operating beyond the conditions and limitations specified on the license
Staff are unable to communicate with residents due to a language barrier
Staff do not provide adequate food service
Staff do not ensure residents' bedding is clean
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
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13
On 10/28/25 Licensing Program Analysts (LPAs) M. Garza and M. Yang arrived at the facility to complete an unannounced complaint visit to deliver findings. LPAs met with Care Givers, Nendr Ghotre and Santosha "Nikki" Kumari, explained reason for visit and was permitted entry into the facility. Licensee/Administrator, Minakshi Roychoudhury was contacted and arrived some time later. Tour of the facilty was completed by LPAs inside and out. A health and safety check was completed on residents in care. Residents observed in common area watching television and in rooms.

During investigation LPA completed visits, requested and reviewed documentation and completed interviews.Althought the allegations may or may not have occured the preponderance of evidence standard has not been met per California Code of Regulations, Title 22. The allegations listed above were UNSUBSTANTIATED.

Exit interview completed with Licensee/Administrator, Min
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
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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