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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209460
Report Date: 07/28/2025
Date Signed: 07/28/2025 02:54:54 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
07/16/2025 and conducted by Evaluator Daiquiri Boyd
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250716085927
FACILITY NAME:SATECAREFACILITY NUMBER:
107209460
ADMINISTRATOR:VICTOR FLAUTAFACILITY TYPE:
740
ADDRESS:75 N FAIRFAX AVETELEPHONE:
(209) 338-4730
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:6CENSUS: 6DATE:
07/28/2025
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Roselle TayagTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
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9
Staff does not ensure resident is provided with adequate servigs of food while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
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12
13
Licensing Program Analyst (LPA) Daiquiri Boyd conducted the complaint investigation visit to the facility. LPA was greeted at the front door by caregiver staff Roselle Tayag. During this visit LPA reviewed client files and inspected refrigerator and pantry for food supply, as well as interviewed clients. LPA delivered investigation findings regarding the above allegations. The Department has investigated the complaint alleging: Staff does not ensure resident is provided with adequate servings of food while in care. LPA found an ample food supply in the home, resident stated that she has plenty of food and can help herself if she is hungry. LPA observed resident in the kitchen getting a dinner roll, stating she wanted a snack. 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: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
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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