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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547209220
Report Date: 03/19/2026
Date Signed: 03/19/2026 01:17:39 PM

Unsubstantiated


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
08/22/2025 and conducted by Evaluator Mai Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250822151427
FACILITY NAME:JEFFRIES HOME RCFEFACILITY NUMBER:
547209220
ADMINISTRATOR:SEARCY, KIMFACILITY TYPE:
740
ADDRESS:2545 W WHITE CHAPEL AVETELEPHONE:
(559) 359-3671
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:6CENSUS: 6DATE:
03/19/2026
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Licensee Jennifer Jeffries via telephone and staff Cija ReedTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident fell resulting in injury
Lack of care and supervision
Facility did not followed physician's order.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/19/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings. LPA introduced self, stated the purpose of the visit, and met with staff Cija Reed. Licensee Jennfier Jeffries was contacted via telephone who authorized staff to sign report.

During the course of the investigation, interviews were conducted and records were reviewed. Allegations alleging resident fell resulting in injury, lack of care and supervision, and facility did not follow physician’s order, although the allegation may have happened or is valid. Based on interviews conducted and records reviewed, the preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBTANTIATED. Exit interview conducted. A copy of this report was provided to Licensee via email per request.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
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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