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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547209600
Report Date: 05/28/2026
Date Signed: 05/28/2026 01:32:06 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
02/17/2026 and conducted by Evaluator Kamaldeep Kaur
COMPLAINT CONTROL NUMBER: 24-AS-20260217102739

FACILITY NAME:ST MICHAEL ASSISTED LIVINGFACILITY NUMBER:
547209600
ADMINISTRATOR:KUMAR,HARMESHFACILITY TYPE:
740
ADDRESS:550 N LILLIE AVETELEPHONE:
(505) 607-1920
CITY:DINUBASTATE: CAZIP CODE:
93618
CAPACITY:49CENSUS: 20DATE:
05/28/2026
UNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Administrator Sabrina KaurTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure the residents are provided nutritious meals
Staff yell at residents
Staff do not ensure resident is provided with a comfortable mattress
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) K. Kaur arrived at the facility for subsequent complaint inspection. LPA met
with Administrator Sabrina Kaur and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings.

The Department investigated the allegations listed above. Based on interviews conducted with Residents and staff no incident was witnessed of staff yelling at residents. Based on observations resident meals and mattress meet licensing requirements.

Based on these findings, the above allegations are UNSUBSTANTIATED. Although the allegations may have
happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did
not occur, therefore these allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Kamaldeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
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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