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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275294322
Report Date: 01/06/2026
Date Signed: 01/06/2026 07:32:48 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
11/25/2025 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20251125131533
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: 144DATE:
01/06/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Executive director Joy CarterTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff do not maintain food service areas in a clean and sanitary condition
Staff do not ensure facility be kept free of insects and rodents.
Licensee does not provide adequate sanitary equipment and supplies for cleaning
Staff does not ensure dishware and utensils must be cleaned and sanitized properly.
INVESTIGATION FINDINGS:
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On 01/06/2026, Licensing Program Analyst (LPA) V Gorban conducted subsequent complaint inspection. LPA met with an executive director. The purpose of this visit is to deliver the findings of the investigation completed by the Department.
During the complaint investigation, LPA interviewed residents and facility personnel, conducted a tour of the facility, interior and exterior to ensure there is no potential or immediate health and safety risk at the facility.

Allegation: Staff do not maintain food service areas in a clean and sanitary condition. During the facility tour and observation, on 11/26/2025 and 01/06/2026, kitchen area, floors and counter tops appear clean and sanitary. 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: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
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 2
Control Number 24-AS-20251125131533
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: 01/06/2026
NARRATIVE
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 Allegation: Staff do not ensure facility be kept free of insects and rodents. Based on records review rodent / pest control agency provide services to the facility on weekly bases to fight ants and rodents. 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: Licensee does not provide adequate sanitary equipment and supplies for cleaning. Records review revealed stored supplies of cleaning solutions, maps, towels, and soap. 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 does not ensure dishware and utensils must be cleaned and sanitized properly. Based on observation and interviews no concerns regarding utensils and dishware. Staff interview responded that utensils and dishware washed after each meal. Observation on 01/06/2026 during lunch tour of dining room reveals no concerns regarding the utensils and dishware. 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 to ED for facility records.

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

DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2