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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208767
Report Date: 05/18/2026
Date Signed: 05/18/2026 04:05:22 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
05/17/2026 and conducted by Evaluator Melinda Medina
COMPLAINT CONTROL NUMBER: 24-AS-20260517122302
FACILITY NAME:BETHANY JOY GARDENFACILITY NUMBER:
157208767
ADMINISTRATOR:ESTOMATA, RIZANIO BFACILITY TYPE:
740
ADDRESS:12302 RAMBLER AVENUETELEPHONE:
(661) 615-3897
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:6CENSUS: 2DATE:
05/18/2026
UNANNOUNCEDTIME BEGAN:
02:23 PM
MET WITH:Florante LansanganTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Staff did not accept resident back from hospital
INVESTIGATION FINDINGS:
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On 5/18/2026, Licensing Program Analyst (LPA) M. Medina arrived to conduct an unannounced initial 10-day complaint visit. LPA arrived, introduced self, stated purpose of visit, and allowed entrance to facility by staff. Licensee was not available to conduct today's complaint visit, LPA spoke with Licensee via telephone to advise of complaint and conduct interview.

During the course of the investigation, interviews were conducted. Based on information gathered during interviews, R1 was ready for discharge from hospital on 5/15/2026 and was not accepted back at facility. Per licensee, they can no longer meet resident's needs. The preponderance of evidence standard has been met, therefore the above allegation of is found to be SUBSTANTIATED.

A deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 9099D.

Exit interview was conducted and a plan of correction developed and reviewed. A copy of this report provided to staff for facility records. .
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026
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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Control Number 24-AS-20260517122302
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: BETHANY JOY GARDEN
FACILITY NUMBER: 157208767
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/25/2026
Section Cited
CCR
87224(a)
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(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5)
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Licensee will read regulation section 87224 and submit written statement acknowledging they have been read and understand was is stated. POC to be submitted to Fresno Regional Office by due date.
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**This was not met as evidenced by: R1 was ready for discharge from hospital on 5/15/2026 and was not accepted back at facility. Per licensee, they can no longer meet resident's needs
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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: See Moua
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2