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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275294322
Report Date: 04/03/2025
Date Signed: 04/16/2025 08:33:52 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
01/13/2025 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250113094804
FACILITY NAME:PARK LANE, THEFACILITY NUMBER:
275294322
ADMINISTRATOR:NATASHA PRUNTYFACILITY TYPE:
740
ADDRESS:200 GLENWOOD CIRTELEPHONE:
(831) 373-0101
CITY:MONTEREYSTATE: CAZIP CODE:
93940
CAPACITY:160CENSUS: 69DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Interim executive director Jessica SanchezTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff did not keep facility free of vermin
Staff did not prevent the facility elevators from being malodorous.
Staff did not provide lighting for residents in care.
Staff did not ensure that residents had access to water
Staff did not repair facility microwave in a timely manner

INVESTIGATION FINDINGS:
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On 04/03/2025, Licensing Program Analyst (LPA) V. Gorban conducted subsequent unannounced complaint visit to deliver allegation findings. LPA explained the purpose of visit to IED (interim executive director) Jessica Sanchez and was allowed facility entry.

Allegation: Staff did not keep facility free of vermin. Based on staff interviews and record review, the facility maintains the account with both pest control companies. AD (Administrator) responded that pest control comes twice a week: on Wednesday they treat from rats, and Thursday they treat from roaches. AD stated that to resolve continuous issue they added another pest control company that started on 1/13/25 that comes daily to treat roaches and rats. 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: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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-20250113094804
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: PARK LANE, THE
FACILITY NUMBER: 275294322
VISIT DATE: 04/03/2025
NARRATIVE
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Allegation: Staff did not prevent the facility elevators from being malodorous. During facility visit, LPA toured the facility all three elevator interviewed staff and administrator. Based on observations, interview and records reviews, Facility staff-houseman cleans facility main hallways and facility three elevators, two persons per day, as scheduled. No unpleasant smell was observed. 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: Staff did not provide lighting for residents in care. Based on residents’ interview, emergency lifts were provided to residents in care during power outage. Staff stated the facility has power generator that able to support operation during power outage for 72 hours. 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: staff did not provide residents had access to water. Based on staff and residents’ interviews, facility notified residents in advance on 1/9/25 by information board, text messaging system and hard copy to each resident of not having water on 1/14/25 due to repair the water line due to scheduled water line repair on 1/14/25. Water bottles were provided to residents. Regarding the showers, facility offered transportation to another facility for showers. 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: Staff did not repair facility microwave in a timely manner. Allegation: Staff did not repair facility microwave in a timely manner. According to staff and residents’ interview, no broken microwave reported to staff or observed, during resident interviews. Based on observations, the facility has three common areas with functioning microwaves. 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.

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2