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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 270708695
Report Date: 11/13/2025
Date Signed: 11/14/2025 09:17:04 AM

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
11/04/2025 and conducted by Evaluator Vadim Gorban
COMPLAINT CONTROL NUMBER: 24-AS-20251104102923
FACILITY NAME:AGAPE OF CARMELFACILITY NUMBER:
270708695
ADMINISTRATOR:FICKEWIRTH, MIRIAMFACILITY TYPE:
740
ADDRESS:25527 FLANDERS DRIVETELEPHONE:
(831) 626-1032
CITY:CARMELSTATE: CAZIP CODE:
93923
CAPACITY:6CENSUS: 4DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
11:27 AM
MET WITH:Administrator Miriam FickewirthTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Facility has expired food
Facility is uncleaned
Residents are left in soiled diapers for an extended period of time
INVESTIGATION FINDINGS:
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On 11/13/2025, Licensing Program Analyst (LPA) V. Gorban unannounced visited the facility to commence complaint investigation. During this visit LPA met with facility Administrator (AD) Miriam Fickewirth and stated the purpose of the visit. During this visit LPA toured the facility inside and out, performing safety checks and observed residents in care.
During complaint investigation LPA toured the facility conducting health and safety checks, interviewed staff, visitors and administrator.

Allegation: Facility has expired food. Based on observations the facility has three storage containers of non-perishable food that was observed in the shed. LPA also observed perishable food in the refrigerator. Administrator is the person does groceries shopping twice a week. 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
Report continues on attached LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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 2
Control Number 24-AS-20251104102923
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: AGAPE OF CARMEL
FACILITY NUMBER: 270708695
VISIT DATE: 11/13/2025
NARRATIVE
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Allegation: Facility is uncleaned. Based on observation and interviews, the facility has two additional staff members with administrator present to provide residents’ care and keep facility clean. Interviews conducted with witnesses stated that they have not observed any issues with the facility being uncleaned. 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.

Allegation: Residents are left in soiled diapers for an extended period of time. Based on observations and interviews, residents are checked every two hours and turned. Records reviewed did not indicate that the residents had injuries or sores. 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.

No deficiency cited during this visit. Exit interview conducted, report signed and copy of this report provided to administrator for facility records.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2