<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209146
Report Date: 11/05/2025
Date Signed: 11/05/2025 12:30:18 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
10/28/2025 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20251028154925
FACILITY NAME:QUALITY CARE ASSISTED LIVINGFACILITY NUMBER:
157209146
ADMINISTRATOR:ESPINAL, ALMAFACILITY TYPE:
740
ADDRESS:2607 MT. VERNON AVENUETELEPHONE:
(661) 871-8133
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:54CENSUS: 45DATE:
11/05/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Facility staff, Nancy CudalTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff administered a medicaton to a resident without authorization
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to investigate the allegation above. LPA met with facility Facility staff, Nancy Cudal, and explained the purpose of today's visit.

Regarding the allegation staff administered a medication to a resident without authorization. LPA conducted an interview with the resident, reviewed medication documentation, interviewed facility staff, and medical office staff. The resident is responsible for his own care and admission decisions and is not conserved. Record review showed documentation indicating that the resident declined the medication in September and October 2025. During the LPA’s interview, the resident—who is nonverbal but communicates effectively confirmed that they did not receive the injection and that they continue to refuse it. Staff interviews and documentation confirmed that the resident’s decision was respected and that no injection was administered without consent. This agency has investigated the complaint alleging staff administered a medication to resident without authorization. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

No deficincies cited Per title 22 Regulations. Ext interview conducted with facility staff Nancy Cudal, and a copy of this report provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 1