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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209479
Report Date: 07/27/2026
Date Signed: 09/20/2026 09:28:13 AM

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
07/09/2026 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20260709100744
FACILITY NAME:RESIDENCY CLUB, THEFACILITY NUMBER:
157209479
ADMINISTRATOR:PATEL, MUKESHFACILITY TYPE:
740
ADDRESS:6717 THUNDER TRAIL DRTELEPHONE:
(661) 903-2448
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:6CENSUS: 0DATE:
07/27/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Licensee,Patel Mukesh, and Dr. Pierre Barnes TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff does not ensure residents medication is kept safely secured
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt held an office meeting to deliver findings on the allegations listed above. LPA met with facility Licensee, Mukesh Patel, and Dr. Pierre Barnes and explained the purpose of the meeting.

Regarding the allegation Staff does not ensure residents medication is kept safely secured. During a visit to the facility on July 13. 2026, LPA observed medications stored in an unlocked medication storage area. The Department also observed medications accessible to a resident 1 whose records indicated they were not authorized to self-administer medications. Additionally, staff permitted medications to be removed from the facility by Resident 2’s family member, organized into weekly pill organizers, and returned to the facility for administration. These practices demonstrate the facility failed to ensure resident medications were maintained in a safe and secure manner. The Department also reviewed information regarding missing hospice morphine that resulted in a police investigation further raising concerns regarding the facility’s medication security practices. Based on interviews conducted, records reviewed, and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficiencies are being cited Per Title 22 regulations.

Exit interview conducted with Licensee, Mukesh Patel, and Dr. Pierre Barnes, and a copy of this report provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2026
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-20260709100744
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: RESIDENCY CLUB, THE
FACILITY NUMBER: 157209479
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/28/2026
Section Cited
CCR
87465(h)(2)
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87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. The following requirement has not been met as evidenced by:
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The licensee's plan to relinquish their License and cease facility operations on 08/03/2026,
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Based on interviews, records reviewed, and observation the facility staff is not ensuring resident medications, includng morphine are kept secure, which poses an immediate, health, safety, or personal rights risk to residnets 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: See Moua
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2026
LIC9099 (FAS) - (06/04)
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