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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203395
Report Date: 08/27/2020
Date Signed: 08/28/2020 07:39:54 AM

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:BROOKDALE RIVERWALKFACILITY NUMBER:
157203395
ADMINISTRATOR:WEBSTER, REGFACILITY TYPE:
741
ADDRESS:350 CALLOWAY DRTELEPHONE:
(661) 587-0221
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:376CENSUS: 224DATE:
08/27/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Reg Webster, Administrator TIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) S. Moua and CDPH Nurse Shantala conducted a case management inspection to assist the facility with COVID-19 Infection Control. LPA and Shantala met with Administrator Reg Webster. A tour of the facility and its buildings (Assisted Living & Memory Care) were conducted.

The following were checked and discussed:

Single entrance and COVID-19 checklist/check in process
Facility's gym and salon
Social distancing capabilities in the common areas and dining areas
Staff break room
Facility's cleaning supplies and process
Visitation Policy
Staff training on PPE and COVID-19 best practices

No immediate health & safety concerns were noted.
SUPERVISOR'S NAME: Brenda WhiteTELEPHONE: (559) 650-7908
LICENSING EVALUATOR NAME: See MouaTELEPHONE: (559) 580-6596
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2020
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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