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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209386
Report Date: 04/03/2025
Date Signed: 04/03/2025 03:22:29 PM

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
03/10/2025 and conducted by Evaluator Jacques Leffall
COMPLAINT CONTROL NUMBER: 24-AS-20250310142731
FACILITY NAME:RADIANCE SENIOR CAREHOMEFACILITY NUMBER:
107209386
ADMINISTRATOR:BAUTISTA, ARLENEFACILITY TYPE:
740
ADDRESS:707 W CHENNAULT AVE.TELEPHONE:
(559) 704-6796
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:6CENSUS: 6DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Administrator: Elisa PuaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not meet a resident's hygiene needs while in care

Staff did not ensure a resident was properly dressed
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/3/25 at 2:45 pm Licensing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit to deliver findings on above allegations. LPA met with Administrator A1 Elisa Pua and stated purpose of visit.

The Department reviewed records and conducted interviews with, R1 and facility A1.

Based on the records review and interviews that were conducted with staff, residents and Administrator, all staff ensured R1 was properly dressed, groomed and has proper hygeine. Based on observation of R1, R1 was properly dressed, groomed, has proper hygeine, appeared happy and is happy living in the facility.

The Resident's and Administrator that were interviewed did not confirm that residents were not treated with dignity and respect.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to Administrator which confirms signature of report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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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