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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547200844
Report Date: 08/21/2025
Date Signed: 08/21/2025 01:34:37 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/13/2025 and conducted by Evaluator Katie Brown
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250813164158
FACILITY NAME:MARBELLA VISALIAFACILITY NUMBER:
547200844
ADMINISTRATOR:RANCOUR, MANDYFACILITY TYPE:
740
ADDRESS:3120 W. CALDWELLTELEPHONE:
(559) 735-0828
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:72CENSUS: 38DATE:
08/21/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Mandy RancourTIME COMPLETED:
01:34 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not allowing residents to have full access to the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the initial complaint investigation visit. LPA met with and discussed the allegation with Administrator (AD) Mandy Rancour. Investigation findings were delivered during this visit to AD.

During the visit, LPA toured the Assisted Living common areas of the community, including outdoors. LPA conducted staff and resident interviews as well as record review of facility documents. Copies were provided as requested.

Upon arrival, residents were observed sitting in the lobby area. Multiple residents were interviewed with consistant reports that all common areas including the lobby and restrooms near the lobby are open to residents and visitors. LPA was able to access the restrooms multiple times during the visit. This Agency has investigated the allegation listed above. We have found that the allegation is UNFOUNDED, therefore we have dismissed the allegation.

There were no citations issued. An exit interview was conducted and a copy of this report was left with AD.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Katie Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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