155801189-9-24-2020-24-AS-MHON-BTRS4T-20200924133314

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 155801189
Report Date: 09/24/2020
Date Signed: 09/24/2020 12:24:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/07/2020 and conducted by Evaluator Mary Garcia

COMPLAINT CONTROL NUMBER: 24-AS-20200507134947

FACILITY NAME:	WESTCHESTER GARDENS		FACILITY NUMBER:	155801189
ADMINISTRATOR:	ROBINSON, SHERVETA		FACILITY TYPE:	740
ADDRESS:	2228 TRUXTUN AVE		TELEPHONE:	(661) 324-3091
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93301
CAPACITY:	36	CENSUS: 18	DATE:	09/24/2020
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Administrator, Sherveta Robinson		TIME COMPLETED:	12:16 PM

ALLEGATION(S):

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Facility staff did not keep the facility free of insects

INVESTIGATION FINDINGS:

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On 9/24/2020 Licensing Program Analyst (LPA) M. Garcia conducted a tele-inspection (due to COVID 19 pre-cautionary measures) to deliver findings on the above complaint. LPA contacted facility Administrator, Sherveta Robinson via telephone to disclose the findings of the allegation.

During the course of the investigation medical and facility records were reviewed and interviews were conducted. Record reviews show that the facility has pest control services and the facility is sprayed on a normal basis. There is insufficient evidence to prove that the allegation did or did not occur, therefore the allegation is UNSUBSTANSIATED. An Exit Interview conducted with Adminitrator and a copy of this report via email with an electronic email read receipt confirms receipt of these documents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Mary Garcia	TELEPHONE: (559) 365-9009
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2020

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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