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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209480
Report Date: 07/01/2026
Date Signed: 07/01/2026 02:30:46 PM

Unfounded


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
04/15/2026 and conducted by Evaluator Melinda Medina
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260415095554
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: 105DATE:
07/01/2026
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Radhika "Rads" Jawa, Administrator
Mike Salway 		TIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
'Staff abandoned resident
Staff refuse to accept resident back to facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/01/2026, Licensing Program Analysts (LPAs) M. Medina and K. Brown conducted a subsequent complaint visit. LPAs introduced themselves, stated purpose of visit and allowed entrance to facility. LPAs met with Administrator, Radhika Jaw and Mike Salway to conduct complaint visit.

During the investigation, interviews were conducted and information was gathered. During interviews it was stated that Resident 1 (R1) was admitted to skilled nursing on 3/20/2026, facility provided documentation that documents attempted e-mail correspondence with skilled nursing to obtain updated medical assessment for R1 and had a scheduled re-assessmented for 5/06/2026. Documents provided by skilled nursing facility document that as of 4/14/2026, R1 had a beside 1:1 companion which is not provided at facility and an open order for intramuscular injections which would require a higher level of care.

We have found that the complaint was unfounded, meaning that the allegation is false, could not have happened and/or is without reasonable basis, therefore, we have dismissed the complaint.

Exit interview conducted. A copy of this report was provided to Administrator.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
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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