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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157203395
Report Date: 07/27/2023
Date Signed: 07/27/2023 11:34:51 AM

Unsubstantiated


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
07/24/2023 and conducted by Evaluator Melinda Medina
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20230724095300
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:
07/27/2023
UNANNOUNCEDTIME BEGAN:
10:32 AM
MET WITH:Jeffrey ToomerTIME COMPLETED:
11:35 AM
ALLEGATION(S):
1
2
3
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7
8
9
Staff did not ensure the facility was free from bed bugs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/27/23, Licensing Program Analyst (LPA) M. Medina conducted an unannounced 10-day complaint visit. LPA met with Jeffrey Toomer, Executive Director and stated purpose of visit.

During the course of the investigation, the department conducted interviews and reviewed records from facilities. It was reported to Department that facility had bed bugs in bingo room and claims of residents reporting same problem. Per Executive Director, there was a report from a resident reporting bed bugs, however, facility had problem treated professionally on 7/18/23 and 7/19/23 which was prior to complaint being received in Department.

Based on interviews and record review the allegation of staff did not ensure facility was free from bed bugs is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies issued.

Exit interview conducted. A copy of this report provided for facility records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
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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