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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107207121
Report Date: 06/29/2026
Date Signed: 06/29/2026 03:18:46 PM

Substantiated


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
12/02/2025 and conducted by Evaluator Mary Garza
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20251202153815
FACILITY NAME:NINA'S HOMEFACILITY NUMBER:
107207121
ADMINISTRATOR:RODRIGUEZ, LETICIAFACILITY TYPE:
740
ADDRESS:6540 N. BRIARWOODTELEPHONE:
(559) 253-3024
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY:6CENSUS: DATE:
06/29/2026
UNANNOUNCEDTIME BEGAN:
02:49 PM
MET WITH:Care Giver, Elvira SosaTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Staff moved resident without notifying authorized representative
Staff moved resident without resident's consent
INVESTIGATION FINDINGS:
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On 06/29/2026 Licensing Program Analyst (LPA) M. Garza completed an unannounced complaint visit to deliver findings. LPA met with Care Giver, Elvira Flores Sosa, explained reason for visit and was permitted entry into the facility. Licensee, Yanina Garcia was contacted and stated they were unavailable to come to the facility. Licensee gave permission to complete visit with Care Giver, Elvira. LPA completed a health and safety check on residents in care.

During the complaint investigation interviews were conducted and documentation was requested and reviewed. Interviews completed with Licensee confirmed R1 was moved to another facility they own. Review of records does not support that notice was provided to the responsible party and resident. The allegations listed above is SUBSTANTIATED. The preponderance of evidence standard has been met per California Code of Regulations, meaning the allegation occurred or has occurred. Deficiencies cited per Title 22 on attached 9099D.

Exit interview completed with Licensee, Yanina Garcia. A copy of this report, deficiency and appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2026
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 2
Control Number 24-AS-20251202153815
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: NINA'S HOME
FACILITY NUMBER: 107207121
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/10/2026
Section Cited
CCR
87468.2(a)(20)
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87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition...shall have all of the following personal rights: (20) To be protected from involuntary transfers, discharges, and evictions. A licensee shall not involuntarily transfer or evict residents for reasons other than those permitted by state law or regulations and shall comply with all eviction and relocation protections for residents. For purposes of this paragraph, "involuntary" means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident.
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Licensee will provide a plan of correction in writting no later than close of business 06/30/2026 to CCL. Licensee will complete POC as written as proof of correction.
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This requirement was not met as evidence by R1 being moved to another facility owned by Licnesee and responsible party not being notified. This poses a potential health safety and or personal rights violation.
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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: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2