157203395-3-2-2022-24-AS-MHON-CCKU6C-20220316151803

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157203395
Report Date: 02/24/2022
Date Signed: 03/02/2022 08:43:43 AM

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
02/14/2022 and conducted by Evaluator Melinda Medina

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20220214110527

FACILITY NAME:	BROOKDALE RIVERWALK		FACILITY NUMBER:	157203395
ADMINISTRATOR:	WEBSTER, REG		FACILITY TYPE:	741
ADDRESS:	350 CALLOWAY DR		TELEPHONE:	(661) 587-0221
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93312
CAPACITY:	376	CENSUS: 205	DATE:	02/24/2022
		UNANNOUNCED	TIME BEGAN:	10:32 AM
MET WITH:	Reg Webster		TIME COMPLETED:	01:53 PM

ALLEGATION(S):

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Staff did not properly maintain resident records
Staff is not following admission agreement

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) M. Medina conducted an unannounced complaint visit. LPA followed all COVID-19 pre-cautionary measures. LPA met with Administrator Reg Webster and explained the purpose of the visit.

LPA conducted interviews, reviewed files and requested documents from R1's file: Admissions Agreement, Physicians reports, medical records, monthly billing statements, and transportation records.

Based on the information gathered during the investigation, there is no evidence to show that staff did not maintain resident records or that staff is not following admission agreement. LPA was able to inspect resident file while on site and review admission agreement signed by R1. This complaint is UNFOUNDED.

An exit interview was conducted with Administrator Reg Webster, signed on site and a copy of this report will be provided via e-mail.

No deficiencies cited.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Melinda Medina	TELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2022

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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