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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209297
Report Date: 08/07/2025
Date Signed: 08/07/2025 09:17:24 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
07/14/2025 and conducted by Evaluator Lisa Salazar
COMPLAINT CONTROL NUMBER: 24-AS-20250714111803
FACILITY NAME:PATHWAY ASSISTED LIVING/ WESTCHESTER GARDENSFACILITY NUMBER:
157209297
ADMINISTRATOR:MOREHEAD, NICOLEFACILITY TYPE:
740
ADDRESS:2228 TRUXTUN AVETELEPHONE:
(661) 324-3091
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY:36CENSUS: 35DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
08:17 AM
MET WITH:Nicole Morehead, Administrator TIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Staff do not ensure that refrigerator is maintained at an appropriate temperature
INVESTIGATION FINDINGS:
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On 08/07/25, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegation. LPA was greeted by staff, stated the purpose of the visit and was allowed entry into the facility. Administrator arrived to the facility shortly after LPAs arrival.

The Department investigated the above allegations. On 07/18/25 at 10:51 AM, LPA Vega toured the facility and observed 2 refrigerator's, one refridgerator thermometer temperature read 53 degrees F and the 2nd refridgerator read at 56 degrees F. Refrigerator was observed to have a supply of perishable fruits and vegetables, 2 containers of ricotta cheese equaling approximately 6 pounds and 5 containers of salad dressing (thousand island and ranch) that had been opened and covered with a lid.

Based on LPAs observations during facility tour, the preponderance of evidence standard has been met, therefore, the above allegation is 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.

An exit interview was conducted with Administrator. A plan of correction was completed prior to LPAs arrival. LPA toured the kitchen and observed the refrigerator to read at 37 degrees F on today's visit. POC is cleared, refrigerator has been repaired. A copy of this report and appeal rights were discussed and provided to Administrator.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
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 3
Control Number 24-AS-20250714111803
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 ASSISTED LIVING/ WESTCHESTER GARDENS
FACILITY NUMBER: 157209297
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/15/2025
Section Cited
CCR
87555(b)
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87555 General Food Service Requirements
(b) The following food service requirements shall apply: (21)Freezers of adequate size shall be maintained at a temperature of 0 degrees F (-17.7 degrees C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures.
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A plan of correction was completed prior to LPAs arrival. LPA toured the kitchen and observed the refridgerator to read at 37 degrees F on today's visit. POC is cleared, refridgerator has been repaired.
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This requirement was not met as evidenced by LPAs observation and pictures received showing refridgerator thermometer temperature read at 53 degrees.
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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: Brenda Chan
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
07/14/2025 and conducted by Evaluator Lisa Salazar
COMPLAINT CONTROL NUMBER: 24-AS-20250714111803

FACILITY NAME:PATHWAY ASSISTED LIVING/ WESTCHESTER GARDENSFACILITY NUMBER:
157209297
ADMINISTRATOR:MOREHEAD, NICOLEFACILITY TYPE:
740
ADDRESS:2228 TRUXTUN AVETELEPHONE:
(661) 324-3091
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY:36CENSUS: 35DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
08:17 AM
MET WITH:Nicole Morehead, Administrator TIME COMPLETED:
09:30 AM
ALLEGATION(S):
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3
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5
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9
Staff do not ensure that facility is maintained in good repair
INVESTIGATION FINDINGS:
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On 08/07/25, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegation. LPA was greeted by staff, stated the purpose of the visit and was allowed entry into the facility. Administrator arrived to the facility shortly after LPAs arrival.

During the investigation, LPA toured the facility inside and out. Facility was observed to be clean, free from odor and in good repair. LPA observed staff in the kitchen cooking breakfast and observed no smoke present and the exhaust fan in the kitchen to be operating properly.

Although the allegation may have happened, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is Unsubstantiated. No deficiencies cited.

An exit interview was conducted with Administrator. A copy of this report was provided to Administrator at the time of the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3