<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 155801264
Report Date: 07/10/2020
Date Signed: 07/10/2020 04:17:52 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
05/13/2020 and conducted by Evaluator See Moua
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20200513124300
FACILITY NAME:HALLMARK OF BAKERSFIELDFACILITY NUMBER:
155801264
ADMINISTRATOR:MATTHEWS, SAVANNAHFACILITY TYPE:
740
ADDRESS:2001 AKERS ROADTELEPHONE:
(661) 834-0200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:70CENSUS: 47DATE:
07/10/2020
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Administrator Savannah Matthews TIME COMPLETED:
02:41 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is giving misinformation to families and providers
Staff did not notify family of resident's fall and injury
Staff failed to care for resident's injury
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) S. Moua called and spoke with Administrator Savannah Matthews regarding the complaint allegations. Findings were delivered over the phone due to COVID 19 precaution guidelines.

Facility staff, residents, and resident’s family members were interviewed. All family members (responsible parties) interviewed for Resident #1 and #2 confirmed that the facility is communicative and provides them with updates and information of the residents’ care. Staff, Resident #1 (whom the above allegations directly referenced), and the family denied that the facility provided the family with wrong information, did not report an injury, or failed to care for the resident’s injury (stage 2 pressure wound). Records reviewed also confirmed this. Based on the interviews conducted and records reviewed, the above allegations are Unfounded. Exit Interview was conducted.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Brenda WhiteTELEPHONE: (559) 650-7908
LICENSING EVALUATOR NAME: See MouaTELEPHONE: (559) 580-6596
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
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
05/13/2020 and conducted by Evaluator See Moua
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20200513124300

FACILITY NAME:HALLMARK OF BAKERSFIELDFACILITY NUMBER:
155801264
ADMINISTRATOR:MATTHEWS, SAVANNAHFACILITY TYPE:
740
ADDRESS:2001 AKERS ROADTELEPHONE:
(661) 834-0200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:70CENSUS: 47DATE:
07/10/2020
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Administrator Savannah Matthews TIME COMPLETED:
02:41 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff chemically restrained residents
Lack of supervision resulted in resident wandering outside the facility
Staff is not providing residents adequate night supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) S. Moua called and spoke with Administrator Savannah Matthews regarding the complaint allegations. Findings were delivered over the phone due to COVID 19 precaution guidelines. Facility staff and resident’s family member (RP) were interviewed about the resident’s care and medications. Facility staff denied that the facility chemically restrained Resident #2 through medications. Facility staff denied that medications are changed without notifying resident’s Responsible Party (RP). The resident’s RP confirmed that the facility communicates changes to the family. Interviews conducted and records reviewed could not confirmed that the facility is not providing enough night supervision or that a lack of supervision resulted in Resident #2 wandering outside. Interviews conducted also could not confirm that the incident took place. There is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. Exit Interview was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brenda WhiteTELEPHONE: (559) 650-7908
LICENSING EVALUATOR NAME: See MouaTELEPHONE: (559) 580-6596
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2