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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209480
Report Date: 04/17/2026
Date Signed: 04/17/2026 03:19:56 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
03/09/2026 and conducted by Evaluator Melinda Medina
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260309122748
FACILITY NAME:STONEHAVEN SENIOR LIVINGFACILITY NUMBER:
107209480
ADMINISTRATOR:SALOW, DONALDFACILITY TYPE:
740
ADDRESS:1717 SOUTH WINERY AVENUETELEPHONE:
(659) 251-8417
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:116CENSUS: 100DATE:
04/17/2026
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Radhika "Rads" Jawa, AdministratorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff sell drugs to residents
INVESTIGATION FINDINGS:
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On 4/17/1026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10-day complaint visit. LPA arrived, stated purpose of visit and allowed entrance. LPA met with Administrator to conduct complaint visit.

During complaint visit, LPA toured facility, conducted interviews and gathered documentation. During interviews and review of documentation, Resident 1 (R1) stated that staff 1 (S1) attempted to sell them drugs. R1 provided text messages between them and S1, review of records confirmed that the telephone number belonged to S1.

Based on LPA’s interviews, and review of documentation the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D.

Exit interview conducted with Administrator and a copy of this report provided for facility records.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
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
Control Number 24-AS-20260309122748
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: STONEHAVEN SENIOR LIVING
FACILITY NUMBER: 107209480
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/17/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/17/2026
Section Cited
CCR
87468.1(a)(1)
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a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons.

**This was not met as evidenced by Resident 1 (R1) stated that staff 1 (S1)
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S1 was suspended then employment was terminated. Administrator conducted an all staff meeting on 3/26/2026 and 3/27/2026, agenda and sign in sheets provided to LPA during visit.
DEFICIENCY CLEARED AT TIME OF VISIT
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attempted to sell them drugs. R1 provided text messages between them and S1, review of records confirmed that the telephone number belonged to S1.
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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.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 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
03/09/2026 and conducted by Evaluator Melinda Medina
COMPLAINT CONTROL NUMBER: 24-AS-20260309122748

FACILITY NAME:STONEHAVEN SENIOR LIVINGFACILITY NUMBER:
107209480
ADMINISTRATOR:SALOW, DONALDFACILITY TYPE:
740
ADDRESS:1717 SOUTH WINERY AVENUETELEPHONE:
(659) 251-8417
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:116CENSUS: 100DATE:
04/17/2026
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Radhika "Rads" Jawa, AdministratorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
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8
9
Staff stole money from resident
Staff go through resident’s personal belongings
INVESTIGATION FINDINGS:
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13
On 4/17/1026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10-day complaint visit. LPA arrived, stated purpose of visit and allowed entrance. LPA met with Administrator to conduct complaint visit.

During complaint visit, LPA toured facility, conducted interviews and gathered documentation. During interviews, it was stated that resident 1 (R1) and resident 2 (R2) advised Administrator that money was missing from their bedroom which are unlocked. An internal investigation was conducted and it was unknown when and how the residents money went missing. During interviews it was stated and documented that R1 consented to staff searching their bedroom for possible drugs. After R1 provided consent to staff, R1 became upset and began yelling at staff. It was reported during interviews that nothing was found in R1's bedroom.

Although the allegation may have happened, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited.

Exit interview conducted with Administrator and copy of this report provided for facility records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3