547209220-9-28-2023-24-AS-MHON-CW9MWQ-20231003095844

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 547209220
Report Date: 09/28/2023
Date Signed: 09/28/2023 03:41:33 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
06/28/2023 and conducted by Evaluator Les Xiong

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230628080745

FACILITY NAME:	JEFFRIES HOME RCFE		FACILITY NUMBER:	547209220
ADMINISTRATOR:	SEARCY, KIM		FACILITY TYPE:	740
ADDRESS:	2545 W WHITE CHAPEL AVE		TELEPHONE:	(559) 359-3671
CITY:	PORTERVILLE	STATE: CA	ZIP CODE:	93257
CAPACITY:	6	CENSUS: 6	DATE:	09/28/2023
		UNANNOUNCED	TIME BEGAN:	01:24 PM
MET WITH:	Jennifer Jeffries		TIME COMPLETED:	04:25 PM

ALLEGATION(S):

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Staff did not respond to resident's call for help.
Staff leave residents alone at facility.
Staff scream at each other in front of residents.
Unqualified staff transporting the residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Jennifer Jeffries, Licensee and informed her the purpose of the visit.

During the course of this investigation LPA reviewed facility files and interviewed staff and resident relevant to the complaint investigation. It was determined that the above allegations: Staff did not respond to resident's call for help, Staff leave residents alone at facility, Staff scream at each other in front of residents, and Unqualified staff transporting the residents are UNFOUNDED. The evidence from the investigation indicated staff not responding the resident's call didn't happenned, staff did not leave the residents alone, staff didn't scream at each other in front of the residents and only staff with current driver's license drove and are authorized to transport residents. This agency has investigated the complaint alleging (Staff did not respond to resident's call for help, Staff leave residents alone at facility, Staff scream at each other in front of residents, and Unqualified staff transporting the residents). We have found that the complaint was unfounded, therefore we have dismissed the complaint.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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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