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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 247209030
Report Date: 03/18/2026
Date Signed: 03/19/2026 08:14:42 AM

Unsubstantiated


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
02/13/2026 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260213113945
FACILITY NAME:LLC RETIREMENT HOMES IFACILITY NUMBER:
247209030
ADMINISTRATOR:LAMERSON, LINDSEYFACILITY TYPE:
740
ADDRESS:693 NORTHWOOD DRIVETELEPHONE:
(209) 582-2395
CITY:MERCEDSTATE: CAZIP CODE:
95348
CAPACITY:6CENSUS: 6DATE:
03/18/2026
UNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:administrator Lindsey Lamerson TIME COMPLETED:
06:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not follow resident's physician's orders.
Staff are not properly trained.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/18/2026 Licensing Program Analyst (LPA) Gorban unannounced visited the facility regarding complaint investigation. LPA introduced self and met with house manger Italy Woods. LPA stated purpose of the visit and was allowed entry. Administrator was notified of Licensing visit.

During the complaint investigation LPA toured the facility conducting health and safety checks, reviewed records, and conducted interviews.
Allegation: Staff do not follow resident's physician's order. Based on interviews and records facility files up to date with staff familiar to provide care to each individual resident.
Allegation: Staff are not properly trained. Based on interviews and records reviews staff completed annual training as required. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are Unsubstantiated.
Exit interview conducted, report signed and copy of this report provided to administrator for facility records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
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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