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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275202569
Report Date: 01/30/2023
Date Signed: 02/08/2023 02:13:13 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
01/25/2023 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20230125143345
FACILITY NAME:MADONNA GARDENSFACILITY NUMBER:
275202569
ADMINISTRATOR:PATRICIA KINGFACILITY TYPE:
740
ADDRESS:1335 BYRON DRTELEPHONE:
(831) 758-0931
CITY:SALINASSTATE: CAZIP CODE:
93901
CAPACITY:88CENSUS: 48DATE:
01/30/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Executive Director, Tyler Barnes TIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not prevent residents from engaging in innapropriate interactions
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to open a complaint investigation. LPA Hurt met with facility Executive Director Tyler Barnes and explained the purpose of today's visit.

Regarding the allegation Staff do not prevent residents from engaging in inappropriate interactions. Based on interviews with facility staff, and residents along with records reviewed the staff is preventing residents from engaging in inappropriate interactions. LPA Hurt interviewed facility Executive Director Tyler Barnes who stated despite Resident 1, and Resident 2 having a consentual friendship there has not been any unwanted interactions between the two residents that violates either residents personal rights. LPA Hurt interviewed Resident 1 who stated they are doing fine at the facility, and they like everything about the facility. LPA Hurt interviewed Resident 2 who stated they are doing very well, likes all residents, and no one bothers them at all.

Continued on 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023
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-20230125143345
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: MADONNA GARDENS
FACILITY NUMBER: 275202569
VISIT DATE: 01/30/2023
NARRATIVE
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...Continued from 9099

Therefore, this allegation is UNSUBSTANTIATED. A finding that an allegation is Unsubstantiated means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.


Exit interview conducted with Executive Director Tyler Barnes, and a copy of this report provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2