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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209217
Report Date: 10/27/2025
Date Signed: 10/27/2025 03:45:51 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
10/24/2025 and conducted by Evaluator Jimmy Duarte
COMPLAINT CONTROL NUMBER: 24-AS-20251024105005
FACILITY NAME:PATHWAY HOMESFACILITY NUMBER:
157209217
ADMINISTRATOR:JOHNSON, JAIMYFACILITY TYPE:
740
ADDRESS:334 MONTCLAIR STTELEPHONE:
(661) 972-6051
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:4CENSUS: 3DATE:
10/27/2025
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Elizabeth RamosTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Medications are not dispensed as prescribed.
Residents are not changed or bathed with privacy.
INVESTIGATION FINDINGS:
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On 10/27/2025, Licensing Program Analysts (LPAs) J. Duarte and M. Medina conducted an unannounced initial 10-day complaint visit. LPAs introduced self, stated purpose of visit, and allowed entrance by Administrator Elizabeth Ramos. Two residents were present at the facility and staff stated that one bed is on hold.

LPAs toured facility, reviewed resident files, and conducted interviews during complaint visit. Two out of two residents stated that they are not given privacy when being changed or bathed, residents stated that door is often left open when staff are providing care to them. While conducting investigation and touring the facility, LPAs observed staff dressing R1 and preparing to transfer them to their wheelchair with bedroom door open.

Regarding the allegation, medication are not dispensed as prescribed, R1 stated during interview that there have been several times that staff have provided R1 with medication to drink directly from the medication bottle and not administered as directed by the physician.

The preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Serigy Pidgirny
LICENSING EVALUATOR NAME: Jimmy Duarte
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
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 2
Control Number 24-AS-20251024105005
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: PATHWAY HOMES
FACILITY NUMBER: 157209217
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
10/28/2025
Section Cited
CCR
87468.1(a)(1)
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87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.
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Administrator stated they will provide a plan to train staff on personal rights of individuals and provide sign in sheets and agenda to Fresno CCL by 10/28/2025.
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***This requirement was not met as evidenced by: Two out of two residents stated that they are not given privacy when being changed or bathed, residents stated that door is often left open when staff are providing care to them. While conducting investigation and touring the facility, LPAs observed staff dressing R1 and preparing to transfer them to their wheelchair with bedroom door open.
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Deficiency Dismissed
Type A
10/28/2025
Section Cited
CCR
87465(c)(2)
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87465 Incidental Medical and Dental Care(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:
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Administrator stated that they will provide a plan to train staff on administering medication to individuals as prescribed by physicians and provide sign in sheets and agenda to Fresno CCL by 10/28/2025.
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(2) Once ordered by the physician the medication is given according to the physician's directions.
***This requirement was not met as evidenced by: R1 stated during interview that there have been several times that staff have provided R1 with medication to drink directly from the medication bottle and not administered as directed by the physician.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Serigy Pidgirny
LICENSING EVALUATOR NAME: Jimmy Duarte
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2