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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107201038
Report Date: 09/09/2026
Date Signed: 09/09/2026 12:29:33 PM

Substantiated


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
07/13/2026 and conducted by Evaluator Martin Vega
COMPLAINT CONTROL NUMBER: 24-AS-20260713111900
FACILITY NAME:NAN'S TLC HOMEFACILITY NUMBER:
107201038
ADMINISTRATOR:NEWELL-PARANGALAN, LUZFACILITY TYPE:
740
ADDRESS:6643 N. MAROA AVENUETELEPHONE:
(559) 439-2465
CITY:FRESNOSTATE: CAZIP CODE:
93704
CAPACITY:6CENSUS: 4DATE:
09/09/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Assistant Administrator - Irish LobosTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff do not provide residents with comfortable room temperature.
INVESTIGATION FINDINGS:
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On 09/09/2026, Licensing Program Analyst (LPA) M Vega conducted an unannounced complaint investigation visit to the facility. LPA was granted entry to facility by staff and Administrator arrived a short time later. During this visit LPA delivered the investigation finding regarding the above allegation to Assistant Administrator - Irish Lobos.

During the course of this complaint investigation LPA conducted an inspection, Interviews conducted and also temperature measurements taken. Based on the investigation it was found that the facility Temperature exceeded 85 degrees F, this was impactful to both staff and residents, Temperature exceeds regulation for an extended period of time.

Based on LPAs observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. Title 22 regulations are being cited on the attached LIC 9099D.
An exit interview was conducted and a copy will be provided to the Assistant Administrator for facility records.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Shawna Doucette
LICENSING EVALUATOR NAME: Martin Vega
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
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
07/13/2026 and conducted by Evaluator Martin Vega
COMPLAINT CONTROL NUMBER: 24-AS-20260713111900

FACILITY NAME:NAN'S TLC HOMEFACILITY NUMBER:
107201038
ADMINISTRATOR:NEWELL-PARANGALAN, LUZFACILITY TYPE:
740
ADDRESS:6643 N. MAROA AVENUETELEPHONE:
(559) 439-2465
CITY:FRESNOSTATE:CAZIP CODE:
93704
CAPACITY:6CENSUS: 4DATE:
09/09/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Assistant Administrator - Irish LobosTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Facility air conditioner is in disrepair.
INVESTIGATION FINDINGS:
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On 09/09/2026, Licensing Program Analyst (LPA) M Vega conducted an unannounced complaint investigation visit to the facility. LPA was granted entry to facility by staff and Administrator arrived a short time later. During this visit LPA delivered the investigation finding regarding the above allegation to Assistant Administrator - Irish Lobos.

The Department has investigated the complaint alleging that, “facility air conditioner is in disrepair.” AC was in the process of being replace due to a part that is no longer made and was up and running that same day. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is found to be unsubstantiated.

No citation issued regarding the allegation. An exit interview was conducted and a copy of the report and appeal rights was provided to the Assistant Administrator whose signature acknowledges receipt.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Shawna Doucette
LICENSING EVALUATOR NAME: Martin Vega
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 24-AS-20260713111900
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: NAN'S TLC HOME
FACILITY NUMBER: 107201038
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/15/2026
Section Cited
CCR
87303(b)(2)
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87303 Maintenance and Operation (b) A comfortable temperature... The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature.
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Assistant administrator stated that if this were to happen again they would implement portable A/C units in each resident room. and submit updated LIC 610E.
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This requirement was not met as evidence by external temperature and measured temperature. The licensee did not comply with the section cited above in that the facility had a broken AC unit from 07/10/2026 through 07/13/2026. Inside temperature did not measure less than 30 degrees and is above maximum 85 degrees F from the outside temperature in extreme heat. This poses a potential health safety and or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Shawna Doucette
LICENSING EVALUATOR NAME: Martin Vega
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
LIC9099 (FAS) - (06/04)
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