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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547209004
Report Date: 01/15/2026
Date Signed: 01/15/2026 04:45:21 PM

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
08/22/2025 and conducted by Evaluator Les Xiong
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250822154708
FACILITY NAME:QUAIL PARK AT SHANNON RANCHFACILITY NUMBER:
547209004
ADMINISTRATOR:MOYER, JEFFFACILITY TYPE:
740
ADDRESS:3330 & 3440 W FLAGSTAFF AVETELEPHONE:
(559) 527-8245
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:150CENSUS: 107DATE:
01/15/2026
UNANNOUNCEDTIME BEGAN:
04:38 PM
MET WITH:Kim SantosTIME COMPLETED:
05:12 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Questionable Death.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On this date, Licensing Program Analyst (LPA), L. Xiong arrived unannounced to deliver findings on the above allegation. LPA stated the purpose of the visit and requested to meet with the Executor Director. LPA met with Kim Santos.
During this investigation, the Department conducted interviews and reviewed records. It was found that facility staff were not responsible for medication management and were not required to perform regular scheduled checks.
The Department has investigated the complaint alleging: Questionable Death. We have found that the complaint was UNFOUNDED.
An exit interview was conducted. A copy of this report was discussed and provided to Kim Santos.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
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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