547209004-5-21-2026-24-AS-AWAN-DUQLE5-20260604084058

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 547209004
Report Date: 05/20/2026
Date Signed: 05/21/2026 10:23:20 AM

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
01/08/2026 and conducted by Evaluator Les Xiong

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20260108093931

FACILITY NAME:	QUAIL PARK AT SHANNON RANCH		FACILITY NUMBER:	547209004
ADMINISTRATOR:	MOYER, JEFF		FACILITY TYPE:	740
ADDRESS:	3330 & 3440 W FLAGSTAFF AVE		TELEPHONE:	(559) 527-8245
CITY:	VISALIA	STATE: CA	ZIP CODE:	93291
CAPACITY:	150	CENSUS: 116	DATE:	05/20/2026
		UNANNOUNCED	TIME BEGAN:	03:09 PM
MET WITH:	Cynthia Fumagalli		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff do not ensure residents physician reports are updated
Licensee does not ensure staff are properly trained
Staff do not ensure medications are dispensed as prescribed
Staff do not ensure medications are properly managed and accounted for
Staff do not ensure adequate care supervision is provided resulting in resident falls

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. LPA met with Wellness Nurse Cynthia Fumagalli and spoke to Administrator Kim Santos on the phone and informed them the purpose of the visit.

During this visit LPA delivered investigation findings regarding the above allegations.The Department has investigated the complaint alleging: Staff do not ensure residents physician reports are updated, Licensee does not ensure staff are properly trained, Staff do not ensure medications are dispensed as prescribed,
Staff do not ensure medications are properly managed and accounted for, and Staff do not ensure adequate care supervision is provided resulting in resident falls. Based on the interviews conducted and/or records review the above allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026

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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