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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547200844
Report Date: 11/25/2025
Date Signed: 11/25/2025 01:45:29 PM

Substantiated


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
06/05/2025 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20250605163501
FACILITY NAME:MARBELLA VISALIAFACILITY NUMBER:
547200844
ADMINISTRATOR:BENSON, LAURAFACILITY TYPE:
740
ADDRESS:3120 W. CALDWELLTELEPHONE:
(559) 735-0828
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:72CENSUS: 47DATE:
11/25/2025
UNANNOUNCEDTIME BEGAN:
11:37 AM
MET WITH:Generations Program Director, Isabel CervantesTIME COMPLETED:
12:43 PM
ALLEGATION(S):
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Staff are financially abusing residents
INVESTIGATION FINDINGS:
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On 11/25/25 Licensing Program Analyst (LPA) M. Garza completed an unannounced visit to deliver complaint findings. Facility is currently without an Executive Director/Administrator effective 11/19/25. LPA met with Generations Program Director, Isabel Cervantes, explained reason for visit and was permitted entry into the facility. Residents observed in common areas.

During investigation interviews were conducted with staff, residents, and responsible parties. Documentation (staff schedules, staff roster with contact information, calls of service, resident files for R1 R2, R3, R4 and R5, staff files for S1 and S2,special incident reports, safeguarding for cash and valuables, and bank statements) were reveiwed. Tours of the facility were conducted on 06/10/2025 and 10/25/25. During interviews it was disclosed mulitiple residents had money and items of value stolen from them. Interviews and records reviewed show that not all incidents were reported to the local law enforcement or Community Care Licensing. S1 has been terminated from the facility. Deficiencies cited on attached 9099D per California Code of Regulations, Title 22.

Exit interview completed with Generations Program Director, Isabel and Resident Care Coordinator, Brittany Polman. A plan of correction was developed by GPD and RCC and reveiwed by LPA. A copy of this report, deficiencies and appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
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-20250605163501
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: MARBELLA VISALIA
FACILITY NUMBER: 547200844
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/12/2025
Section Cited
CCR
87468.2(a)(8)
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87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.
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Training will be completed with all staff on personal righst-financial exploitation. Training will include; what staff need to do when reported, what to fill out and who to notify. In-service sign in sheet and training material will be provided to CCL by POC date.
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This requirement was not met as evidence by: review of records and interviews conducted. The licensee did not comply with the section cited above in that multiple residents had money or items stolen from them at the facility. This poses a potential health safety and or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2