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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157206674
Report Date: 11/12/2024
Date Signed: 11/12/2024 11:39:57 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/04/2024 and conducted by Evaluator Alexandria Walton
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20241104111500
FACILITY NAME:AIMES NOBLE IIFACILITY NUMBER:
157206674
ADMINISTRATOR:CORTEZ, JOSEFACILITY TYPE:
740
ADDRESS:5729 NOBLE STREETTELEPHONE:
(661) 589-9992
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93314
CAPACITY:4CENSUS: 3DATE:
11/12/2024
UNANNOUNCEDTIME BEGAN:
10:41 AM
MET WITH:Administrator, Jose CortezTIME COMPLETED:
11:39 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left resident soiled for an extended period
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/12/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to commence a complaint investigation. LPA was granted entry to the facility, introduced self, and requested to meet with the Administrator. LPA met and disclosed the purpose of the visit with Administrator, Jose Cortez.

LPA conducted interviews with Administrator and reviewed records. Interviews revealed that all residents are independent in toileting. Physician reports indicate that residents do not need assistance with self-care including toileting. Administrator stated that all residents in care are scheduled to have an annual medical assessment completed within the next few weeks. This agency has investigated the complaint alleging: Staff left resident soiled for an extended period. We have found that the allegation is UNFOUNDED, meaning that the allegation was false, could not happen or without a reasonable basis.

No deficiencies issued during today's inspection. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Jose Cortez, whose signature on this form confirms receipt of this document.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
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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