157209146-10-8-2024-24-AS-KHOS-DBUHL4-20241211051653

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157209146
Report Date: 10/07/2024
Date Signed: 10/08/2024 08:14:18 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
10/03/2024 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20241003164659

FACILITY NAME:	QUALITY CARE ASSISTED LIVING		FACILITY NUMBER:	157209146
ADMINISTRATOR:	ESPINAL, ALMA		FACILITY TYPE:	740
ADDRESS:	2607 MT. VERNON AVENUE		TELEPHONE:	(661) 871-8133
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93306
CAPACITY:	54	CENSUS: 47	DATE:	10/07/2024
		UNANNOUNCED	TIME BEGAN:	11:37 AM
MET WITH:	Administrator Nancy Cudal		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility is not safeguard resident’s property
Resident is not getting is P & I funds
Facility uses intimidation to violate residents personal rights

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA)'s Shawna Doucette conducted an unannounced complaint visit and was granted entry by Administrator Nancy Cudal. LPA's explained the purpose of the visit.

LPA requested a copy of and reviewed the resident roster. LPA interviewed Administrator. Facility does not have a client by the name listed in this complaint.

Based on LPA's interviews and record review, this agency has investigated the complaint alleging, Facility is not safeguard resident’s property, Resident is not getting is P & I funds and Facility uses intimidation to violate residents personal rights. We have found that the complaint was UNFOUNDED, which means it could not have happened, and/or is without a reasonable basis, therefore we have dismissed the complaint.

An exit interview was conducted and a copy of this report was provided.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2024

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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