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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157200963
Report Date: 10/05/2022
Date Signed: 10/05/2022 02:24:35 PM

Unsubstantiated


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
07/18/2022 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20220718101850
FACILITY NAME:KERN ADULT PROGRAM, INC.FACILITY NUMBER:
157200963
ADMINISTRATOR:GLENN, RHONDAFACILITY TYPE:
775
ADDRESS:2900 EYE ST.TELEPHONE:
(661) 323-4700
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY:120CENSUS: 89DATE:
10/05/2022
UNANNOUNCEDTIME BEGAN:
01:17 PM
MET WITH:Administrator, Rhonda GlennTIME COMPLETED:
02:26 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility administrator lied to the police about a resident's death.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/5/22 Licensing Program Analyst (LPA) M. Garza arrived at facility unannounced to deliver findings on the allegations listed above. LPA introduced self, was COVID pre-screened and permitted entry into the facility. LPA met with Administrator, Rhonda Glenn and explained reason for visit. LPA completed a tour of the facility and completed a health and safety check on residents in care. Residents observed in activity rooms.

During the investigation LPA conducted interviews with Administrator and staff and records were reviewed (police reports, interview notes, IB investigation notes). Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is found to be UNSUBSTANTIATED.

Exit interview completed with Administrator, Rhonda Glenn. A copy of this report was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
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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