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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209516
Report Date: 03/21/2026
Date Signed: 03/21/2026 02:39:11 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
02/27/2026 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20260227130105
FACILITY NAME:HIGH DESERT HAVENFACILITY NUMBER:
157209516
ADMINISTRATOR:KAVANAUGH, BRITTANYFACILITY TYPE:
740
ADDRESS:1240 COLLEGE HEIGHTS BLVD.TELEPHONE:
(760) 371-1989
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY:154CENSUS: 72DATE:
03/21/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Elizabeth Vasku, Wellness DirectorTIME COMPLETED:
02:47 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not follow resident's hospice care plan
Facility staff did not follow reporting requirements
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/21/26 Licensing Program Analysts (LPAs) M. Garza and M. Medina arrived at the facility for an unannounced complaint visit. LPAs met with Administrator, Brittany Kavanaugh via telephone and gave permission for visit to be completed with Wellness Director, Elizabeth Vasku. LPAs completed a health and safety check on residents in care. Residents were observed in common area, in rooms and in dining areas.

During visits LPAs completed interviews, requested and reviewed documentation (medical assessments, hospice care plans, staff schedules, resident roster, staff roster, daily charting notes, housekeeping schedule, laundry schedule, menus, and needs and services plans).

Allegation: Facility staff did not follow resident's hospice care plan
Records reviewed disclosed that R1 and R2 did not have a current hospice care plan. This does not allow staff to follow residents hospice care plans.

Allegation: Facility staff did not follow reporting requirements
LPAs observed internal incident reports that were not submitted to CCL. LPAs verified they were not sent to CCL by reviewing e-fax facility folder for incident reports.

The allegations listed above have met the preponderance of evidence standard per California Code of Regulations, Title 22. The allegations are SUBSTANTIATED. Deficiencies cited on 9099D. If not corrected, the deficiencies have a direct impact to residents in care.

Exit interview completed with Wellness Director, Elizabeth. A plan of correction was developed by Wellness Director and reviewed by LPAs. A copy of this report, deficiencies and appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2026
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
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
02/27/2026 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20260227130105

FACILITY NAME:HIGH DESERT HAVENFACILITY NUMBER:
157209516
ADMINISTRATOR:KAVANAUGH, BRITTANYFACILITY TYPE:
740
ADDRESS:1240 COLLEGE HEIGHTS BLVD.TELEPHONE:
(760) 371-1989
CITY:RIDGECRESTSTATE:CAZIP CODE:
93555
CAPACITY:154CENSUS: 72DATE:
03/21/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Wellness Director, Elizabeth VaskuTIME COMPLETED:
02:47 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not ensure that resident was adequately fed
Facility staff did not assist residents with wearing clean clothing
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/21/26 Licensing Program Analysts (LPAs) M. Garza and M. Medina arrived at the facility for an unannounced complaint visit. LPAs met with Administrator, Brittany Kavanaugh via telephone and gave permission for visit to be completed with Wellness Director, Elizabeth Vasku. LPAs completed a health and safety check on residents in care. Residents were observed in common area, in rooms and in dining areas.

During visits LPAs completed interviews, requested and reviewed documentation.

Allegation: Facility staff did not ensure that resident was adequately fed.
During facility tour, LPAs observed residents during meal time at both complaint visits. Residents were observed to be eating independently, with staff observing and available for assistance, if needed. Residents were observed to be eating and their own pace. It was not observed that residents were moved from dining room until their meal was complete. Residents observed eating meals were in an upright position.

Allegation: Facility staff did not assist residents with wearing clean clothing.
During facility tour, LPAs observed residents to be wearing clean clothing. During tour of residents rooms, LPA's observed laundry baskets with dirty clothes, as well as additional clean clothing available. LPAs observed laundry schedule for residents. Interviews with staff, stated laundry is also completed as needed for residents.

The preponderance of evidence standard has not been met per California Code of Regulations, Title 22. The allegations listed above are UNSUBSTANTIATED. No deficiencies cited during todays visit.

Exit interview completed with Wellness Director, Elizabeth. A copy of this report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2026
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
Control Number 24-AS-20260227130105
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: HIGH DESERT HAVEN
FACILITY NUMBER: 157209516
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2026
Section Cited
CCR
87633(b)
1
2
3
4
5
6
7
87633 Hospice Care of Terminally Ill Residents (b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following:…
1
2
3
4
5
6
7
Wellness Director immediately requested a current copy of the hospice care plans from the hospice agencies. Once received the current plans will be provided to CCL by POC date as proof of correction
8
9
10
11
12
13
14
This requirement was not met as evidence by: records reviewed. The licensee did not comply with the section cited above in that 2 of 2 hospice records reveiwed did not have a current hospice plan. The plans observed had an expired certification date. This poses a potential health safety and or personal rights risk to residents in care.
8
9
10
11
12
13
14
Type B
04/04/2026
Section Cited
CCR
87211(a)
1
2
3
4
5
6
7
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:…
1
2
3
4
5
6
7
Wellness Director stated they will provide an all staff training on reporting requirements. In-service sign in sheets and training material will be provided to CCL by POC date as proof of correction
8
9
10
11
12
13
14
This requirement was not met as evidence by: records reviewed. The licensee did not comply with the section cited above in that LPAs observed internal incident reports for the facility that were not e-fax to CCL. This poses a potential health safety and personal right risk to residents in care.
8
9
10
11
12
13
14
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: 03/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3