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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 100404809
Report Date: 07/10/2026
Date Signed: 09/18/2026 11:33:31 AM

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
04/13/2026 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20260413104328
FACILITY NAME:PALM VILLAGE RETIREMENT COMMUNITYFACILITY NUMBER:
100404809
ADMINISTRATOR:KARELY ALCANTARFACILITY TYPE:
741
ADDRESS:703 WEST HERBERT AVENUETELEPHONE:
(559) 638-6933
CITY:REEDLEYSTATE: CAZIP CODE:
93654
CAPACITY:262CENSUS: 109DATE:
07/10/2026
UNANNOUNCEDTIME BEGAN:
10:06 AM
MET WITH:Administrator, Karely AlcantarTIME COMPLETED:
11:47 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is not providing meals that meet resident's special dietary needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/10/2026 Licensing Program Analyst (LPA) M. Garza arrived at the facility for an unannounced complaint visit to deliver findings. LPA met with Administrator, Karely Alcantar, explained reason for visit and was permitted entry into the facility.

During complaint LPA completed interviews, requested and reviewed documenation and toured the facility inside and out. Review of records disclosed that R1's admission agreement stated independent living residents could purchase meals for an additional cost. Review of R1's medical assessment dated 03/30/26 indicated that R1 has a need for a special diet. Previous medical assessment dated 06/18/2009 did not specify this need. During the period of 06/2009 through 03/2026, R1 was instructed by staff to provide an updated medical assessment for the special diet accommodation. Interviews conducted indicated that the facility provides accommodations for special diets to those with medically documented conditions. Although the allegation may or may not have occurred, it does not meet the prepondance of eviidence standard per California Code of Regulations, Title 22. The allegation listed above is UNSUBSTANTIATED. No deficiencies cited during todays visit.

Exit interview completed with Administrator, Karely. A copy of this report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
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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