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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209294
Report Date: 02/13/2026
Date Signed: 02/13/2026 11:25:59 AM

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
02/03/2026 and conducted by Evaluator Daiquiri Boyd
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260203093452
FACILITY NAME:AAA RESIDENTIAL ELDERLY RETREAT #2FACILITY NUMBER:
157209294
ADMINISTRATOR:BELL, ALEXISFACILITY TYPE:
740
ADDRESS:1013 WHITE LANETELEPHONE:
(661) 213-6798
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:6CENSUS: 0DATE:
02/13/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Sheila DillardTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff are locking the exterior gate to the facility restricting access in case of an emergency
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Daiquiri Boyd conducted the complaint investigation visit to the facility. During the course of this complaint investigation LPA interviewed Licensee and obtained and/or reviewed facility records. It was found that there were no residents residing in the facility and it is currently unoccupied, Licesee stated tha lock was placed for security of the premises. It was determined based on observation and records review that the above allegation is SUBSTANTIATED. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 8), are being cited on the attached LIC 9099D.


Substantiated
Estimated Days of Completion: 30
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Daiquiri Boyd
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2026
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
Citations on this Visit Report are Under Appeal!

Control Number 24-AS-20260203093452
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: AAA RESIDENTIAL ELDERLY RETREAT #2
FACILITY NUMBER: 157209294
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
02/14/2026
Section Cited
CCR
87203
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87203 - Fire Safety - All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidenced by the facility had a padlock on the front gate
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Facility will no onger place a lock on the front gate and plans to apply for a new Fire Clearance to include a secured perimeter.
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of the facility, which is not permitted by their approved Fire Clearance; which poses an immediate risk to the health, safety, or personal rights risk to the residents in care.
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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: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Daiquiri Boyd
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2