150400536-4-2-2024-24-AS-DWIS-D3XNFY-20240402102615

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 150400536
Report Date: 03/27/2024
Date Signed: 04/02/2024 10:26:40 AM

Document Has Been Signed on 04/02/2024 10:26 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME:	ROSEWOOD RETIREMENT COMMUNITY		FACILITY NUMBER:	150400536
ADMINISTRATOR:	BALABAN, ROCHELLE		FACILITY TYPE:	741
ADDRESS:	1301 NEW STINE ROAD		TELEPHONE:	(661) 834-0620
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93309
CAPACITY:	220	CENSUS: 137	DATE:	03/27/2024
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Director Assisted Living Cille Caldwell Nurse Manager, Jesse Hernandez Administrator Rochelle Balaban		TIME COMPLETED:	11:43 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Darius Williams conducted an unannounced Annual Inspection visit. LPA Williams met with Director Assisted Living Cille Caldwel, Nurse Manager, Jesse Hernandez, and Administrator Rochelle Balaban, and discussed the purpose of the visit. The facility is a nine story building; Assisted living on floors 2 and 3 and the rest of the floors are independent living. Each floor has two wings with a lobby separating them in the middle Tour began on the first floor. There is a library and meeting room that is used for activities and family visits. The main dining hall has seating to accommodate residents. LPA toured the kitchen where all food prep is completed. According to the Dining Director they receive two shipments of food a week through a contracted service. LPA observed active food prepping being completed and kitchen staff wearing personal protective equipment. There was a variety of perishable and non perishable food for the residents consumption. LPA observed a large walk in industrial refrigerator and freezer stocked with food. Additionally, LPA observed an emergency three day food supply. The Asssited Living floors, 2 and 3 were clean and in good repair. LPA toured 2 rooms and spoke with 2 residents who reported loving their living situation. The rooms were clean, good repair, and free of odor. Rooms had bed (with all required linens), dresser, night stand, working lights, chair, and other personalized items and furniture from the residents. Bathrooms are located in each room. Bathrooms were observed to be clean, good repair, and have grab bars and non slip mats. Continued on LIC 809C

SUPERVISOR'S NAME: Serigy Pidgirny	TELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Darius Williams	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: ROSEWOOD RETIREMENT COMMUNITY	FACILITY NUMBER: 150400536
	VISIT DATE: 03/27/2024

NARRATIVE

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The 3rd floor housed another small dining room which has food catered from the kitchen on the 1st floor.

The 4th through 9th floor are independent living and were all clean and in good repair.

Thermostat temperature on the 8th and 9th floor Lounge room reflected 73 degrees Fahrenheit and each resident room has an individual thermostat.

The memory care unit is on the 2nd floor. LPA observed 8 residents sitting at a table engaging in various activities. Each room had a personalized shadow box designed by the residents. The bathroom and kitchen were clean and in good repair.

An activities calendar is available on each floor. There are two large activity rooms on facility grounds. LPA observed residents actively engaged in a yoga class.

Pool on the premises had a locked gate.

Chemicals, sharps, and medications were locked and inaccessible to residents.

Smoke detectors, carbon monoxide detector, and fire extinguishers were present and operational.

Due to insufficient time the LPA will have to return at a later date for an CONTINUATION ANNUAL INSPECTION.

No deficiencies were cited during this visit.

An exit interview was conducted and a copy of this report was provided.

SUPERVISOR'S NAME: Serigy Pidgirny	TELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Darius Williams	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

LIC809 (FAS) - (06/04)

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