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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 01:19:13 PM

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
06/13/2023 and conducted by Evaluator Melinda Medina
COMPLAINT CONTROL NUMBER: 24-AS-20230613152947
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:
11:37 AM
MET WITH:Jeffrey ToomerTIME COMPLETED:
01:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident in care has access to a knife
Facility is not kept free of pests
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/27/23, Licensing Program Analyst (LPA) M. Medina conducted a subsequent visit to deliver findings on this complaint. LPA met with Jeffrey Toomer and stated purpose of visit.

During the course of the investigation, LPA toured facility, conducted interviews and gathered documentation. Based on review of records and interviews conducted, the allegations of resident in care has access to a knife and facility is not kept free of pests are UNSUBSTANTIATED. During interviews and review of records, LPA received copies that R1's apartment was treated for pests on 6/15/23 prior to department receiving complaint and there is no evidence to show that resident has access to a knife in their apartment.

No deficiencies cited. Exit interview conducted and a copy of this report provided to Executive Director 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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