157203395-6-23-2023-24-AS-MHON-CTHLKG-20230707084930

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157203395
Report Date: 06/23/2023
Date Signed: 06/23/2023 12:57:15 PM

Unfounded

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
04/03/2023 and conducted by Evaluator Melinda Medina

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230403083422

FACILITY NAME:	BROOKDALE RIVERWALK		FACILITY NUMBER:	157203395
ADMINISTRATOR:	DEVINE,DANIEL		FACILITY TYPE:	741
ADDRESS:	350 CALLOWAY DR		TELEPHONE:	(661) 587-0221
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93312
CAPACITY:	376	CENSUS: 207	DATE:	06/23/2023
		UNANNOUNCED	TIME BEGAN:	12:13 PM
MET WITH:	Jeffrey Toomer, Executive Director		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Resident sustained a fall while in care
Staff failed to report an incident to the resident's authorized representative
Staff do not answer phone calls

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 06/23/23, Licensing Program Analyst (LPA) M. Medina arrived unannounced to conduct a complaint investigation. LPA introduced self, stated the purpose of the visit. LPA met with Jeffrey Toomer, Executive Director to conduct to visit

During complaint investigation LPA conducted interviews and reviewed facility records. Upon review of facility records, R1 has not been a resident of Independent Living, Assisted Living or Memory Care since 4/18/22.

This Department investigated the complaint alleging resident sustained a fall while in care, staff failed to report an incident to the resident's authorized representative and staff do not answer phone calls. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda Medina	TELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023

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 1