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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 247209172
Report Date: 07/24/2026
Date Signed: 07/24/2026 07:22:39 PM

Unsubstantiated


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
05/05/2026 and conducted by Evaluator Brianna Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260505112437
FACILITY NAME:VALLEY SPRING MEMORY CAREFACILITY NUMBER:
247209172
ADMINISTRATOR:REYNAGA, ELIZABETHFACILITY TYPE:
740
ADDRESS:555 MILLER LANETELEPHONE:
(209) 710-4783
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY:50CENSUS: 22DATE:
07/24/2026
UNANNOUNCEDTIME BEGAN:
05:06 PM
MET WITH:Executive Director - Elizabeth ReynagaTIME COMPLETED:
07:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not follow resident's care plan
Staff did not ensure resident's dietary needs were met
Staff did not ensure that resident was hydrated
Staff did not observe resident for change in condition
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 24, 2026 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to open a complaint regarding the allegations listed above. LPA met with Administrator Elizabeth Reynaga and Resident Care Director Natalie Levario.

LPA conducted multiple interviews for the allegations listed above. LPA interviewed staff, residents, and family members. Interviewees did not state any of the allegations listed above happen. On May 2, 2026 LPA B. Miranda was at the facility to open a non-related complaint and observed R1 with a staff member in their room. When LPA attempted to speak with R1 they appeared agitated and stated they were fine and wanted to be left alone.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report LIC9099 was provided to Executive Director Elizabeth Reynaga.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026
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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