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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209397
Report Date: 07/01/2025
Date Signed: 07/01/2025 12:48:37 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 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
06/13/2025 and conducted by Evaluator Mai Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250613155013
FACILITY NAME:ALONDRA HOMEFACILITY NUMBER:
157209397
ADMINISTRATOR:LAZAGA, CECILIA& JETHRONELFACILITY TYPE:
740
ADDRESS:9817 ALONDRA DRTELEPHONE:
(661) 563-0683
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:6CENSUS: 6DATE:
07/01/2025
UNANNOUNCEDTIME BEGAN:
12:17 PM
MET WITH:Licensee/ Administrator Jethronel LazagTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure adequate supervision was provided resulting in resident sustaining an injury while in care
Staff handled resident in a rough manner
Staff did not ensure resident was spoken to in an appropriate manner
Staff did not ensure resident received medical attention in a timely manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/01/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced subsequent complaint investigation and deliver findings on the above allegations. LPA introduce self, stated the purpose of the visit, and met with Licensee/ Administrator Jethronel Lazaga.

The Department conducted interviews, reviewed records, and toured the facility. Records and interviews confirms two staff were working when alleged staff did not ensure adequate supervision resulting in resident sustaining an injury while in care. Staff provided first aid to R1 when observed with a scratch on resident head. Based on interviews conducted, there was insufficient evidence to prove or disprove that staff did not ensure resident was spoken to in an appropriate manner. Therefore, the preponderance of evidence standard has been met; therefore the above allegations are found to be UNSUBSTANTIATED. Exit Interview conducted. A copy of this report was provided to Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
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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