<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 247209572
Report Date: 03/25/2026
Date Signed: 03/26/2026 10:37:33 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
02/20/2026 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260220164810
FACILITY NAME:ROVELO SENIOR HOMEFACILITY NUMBER:
247209572
ADMINISTRATOR:ROVELO, REBECCAFACILITY TYPE:
740
ADDRESS:658 LIM STREETTELEPHONE:
(209) 455-4197
CITY:MERCEDSTATE: CAZIP CODE:
95341
CAPACITY:6CENSUS: 6DATE:
03/25/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Lead staff Rosalind Jeronimo TIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident sustained unexplained bruises.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/12/2026, Licensing Program Analyst (LPA) V. Gorban arrived unannounced delivering findings to complaint investigation. LPA explained the purpose of the visit to facility lead staff Rosalind and was allowed entry.
During the course of the investigation, LPA conducted a facility tour, conducted interviews, and reviewed records.
Allegation: Resident sustained unexplained bruises. Based on interviews and records review, R1 did not have concerns although bruises easily due to medication prescribed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.


Exit interview conducted, report signed and copy of this report provided for facility records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
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 1