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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203395
Report Date: 07/20/2023
Date Signed: 07/20/2023 04:24:13 PM


Document Has Been Signed on 07/20/2023 04:24 PM - It Cannot Be Edited

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:DEVINE,DANIELFACILITY TYPE:
741
ADDRESS:350 CALLOWAY DRTELEPHONE:
(661) 587-0221
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:376CENSUS: 233DATE:
07/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Jeffrey ToomerTIME COMPLETED:
04:38 PM
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On 7/20/23, Licensing Program Analyst (LPA) Melinda Medina conducted an unannounced Annual Inspection. LPA toured the facility with Jeffrey Toomer, Executive Director, Administrator Certificate #6010625740, expires 2/4/24.

Facility tour began in resident rooms. LPA toured resident bedrooms in Assisted Living, Memory Care and Independent Living. Facility observed to be clean, odor free and maintained at a comfortable temperature. LPA observed resident bedrooms to have required accommodations. Lighting in the bedrooms appeared to be adequate. Water temperature measured ranged from 112 degrees F. to 118 degrees F. Grab bars and nonskid mats or surfaces were observed in all of the resident bathrooms toured. The common areas, activities room and dining room were all toured. Kitchen toured. LPA observed a 2-day supply of perishable and 7-day supply of non-perishable food. Food delivery received 2 times per week. LPA observed adequate seating and lighting for residents throughout facility. LPA observed residents participating in different activities throughout facility during tour. Medications observed to be locked and secured in medication cart and inside the medication room. Medications observed to have original labels and be administered as prescribed.

All indoor and outdoor passageways are free of obstructions. Fire extinguisher all have current service dates of 01/18/2023. Carbon monoxide detectors observed operational during today's visit. Last fire drill conducted on 7/19/23.

Resident and staff files reviewed, and interviews conducted. LPA received updated resident roster, staff roster, and LIC 610E during facility inspection.

No deficiencies observed.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
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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