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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203395
Report Date: 09/17/2020
Date Signed: 09/17/2020 04:03:48 PM

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: 193DATE:
09/17/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Administrator, Reg WebsterTIME COMPLETED:
01:20 PM
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Licensing Program Analyst (LPA) Darius Williams conducted an unannounced Case Management via telephone, due to Covid-19 mitigation efforts, with Administrator Reg Webster. LPA Williams received documentation from the Caregiver Background Check Bureau, reporting Staff 1 (S1) did not receive background clearance. The purpose of the case management was to ensure S1 was not working at the facility.

Administrator Webster stated S1's name did not sound familiar and if the staff was not cleared they would have not been employed. LPA Williams reviewed the staff roster provided by Administrator Webster.

Based on a review of records, S1 is not working at the facility.

There was no deficiency cited.

An exit interview was conducted with Administrator Webster via telephone and a copy of this report was provided via email and an electronic email read receipt confirms receiving this document.
SUPERVISOR'S NAME: Serigy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Darius WilliamsTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2020
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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