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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208940
Report Date: 10/14/2025
Date Signed: 10/14/2025 11:02:32 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
09/02/2025 and conducted by Evaluator Mai Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250902110224
FACILITY NAME:MAGNOLIA PLACEFACILITY NUMBER:
157208940
ADMINISTRATOR:CHAPMAN, MICHAELFACILITY TYPE:
740
ADDRESS:8100 WESTWOLD DRIVETELEPHONE:
(661) 663-8400
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:146CENSUS: 115DATE:
10/14/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Memory Care Director Kristen Mcmillian and Director Resident Services Mandy HouseTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not follow reporting requirements
Facility staff did not provide adequate supervision, resulting in a physical altercation between residents
Facility staff did not adhere to admission agreement
Facility staff did not ensure resident received diabetic care as needed
Facility staff did not dispense medications as prescribed
Facility staff did not ensure resident was treated with dignity
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/14/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Memory Care Director Kristen Mcmillian and Director Resident Services Mandy House who stated Executive Director Mireya Melchor is unavailable to attend meeting.

During the course of the investigation, the Department conducted interviews, toured the facility, and records were reviewed. Adequate staff were present during altercation between R1 and R2. Staff responded immediately to the incident. Incident was reported to the department in a timely manner. Based on records reviewed and interviews conducted, R1 had a one on one staff prior to residing at the facility. R1 continued one on one staff after residing at the facility. R1 is a diabetic that is on a regular diet with low salt diet. R1’s blood sugar was being checked according to doctor’s order. Interviews and records reviewed confirm, staff administered R1’s mediation as directed. R1 participants with facility activities.

Based on records reviewed, interviews conducted and observation, the preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to Director Resident Services,whose signature on this form confirms receipt of this report.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
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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