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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547208831
Report Date: 04/16/2025
Date Signed: 04/21/2025 09:55:49 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
11/20/2024 and conducted by Evaluator Les Xiong
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20241120145330
FACILITY NAME:GAITHER'S FAMILY HOMEFACILITY NUMBER:
547208831
ADMINISTRATOR:GAITHER, HENRIETTAFACILITY TYPE:
740
ADDRESS:1441 SAN LUCIA AVENUETELEPHONE:
(559) 920-3939
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:4CENSUS: 4DATE:
04/16/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Kristy Rackley and Rachelle WhittonTIME COMPLETED:
03:06 PM
ALLEGATION(S):
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9
Staff have not taken steps to prevent the spread of scabies
Staff did not ensure residents scabies was treated properly
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility.
During the course of this investigation LPA reviewed facility files and interview staff relevant to the complaint investigation. It was determined that the above allegations: Staff have not taken steps to prevent the spread of scabies, and Staff did not ensure residents scabies was treated properly are UNFOUNDED. The evidence from the investigation indicated the facility took necessary steps to prevent, treat and rule out the cause and spread of scabies. This agency has investigated the complaint alleging (Staff have not taken steps to prevent the spread of scabies, and Staff did not ensure residents scabies was treated properly). We have found that the complaint was unfounded, therefore we have dismissed the complaint.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
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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