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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157206741
Report Date: 06/03/2025
Date Signed: 06/03/2025 11:32:40 AM

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
04/15/2025 and conducted by Evaluator Mai Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250415161650
FACILITY NAME:COMFORT CARE HOME IVFACILITY NUMBER:
157206741
ADMINISTRATOR:DHILLON, AMARDEEP (AMY)FACILITY TYPE:
740
ADDRESS:4917 AU CHOCOLAT DRTELEPHONE:
(661) 204-4455
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:6CENSUS: 6DATE:
06/03/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Licensee Amy Dhillon via telephone and caregiver Felyn ReyesTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident sustained an injury while in care
Staff did not address residents care needs in a timely manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/03/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings. LPA introduced self, stated the purpose of the visit, and met with caregiver Felyn Reyes. Licensee Amy Dhillion was called and unable to attend meeting. Findings was discuss with Licensee via telephone. Licensee authorized caregiver to receive and sign report.

During the course of the investigation, the Department conducted interviews, records were reviewed and toured the facility. R1 had gone outside in the front yard. Staff was present with the resident when the resident refused to go inside the facility and slid the resident self onto the ground.

Based on interviews conducted, allegation alleging resident sustained an injury while in care and staff did not address the resident’s needs in a timely manner, the preponderance of evidence standard has been met, therefore the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided to the caregiver, whose signature confirms received of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
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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