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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203395
Report Date: 09/07/2021
Date Signed: 09/07/2021 12:49:47 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: 160DATE:
09/07/2021
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Health and Wellness Director, Silvia MartinezTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Darius Williams conducted an unannounced Health and Safety check visit. LPA Williams met with Health and Wellness Director, Silvia Martinez and discussed the purpose of the visit.

LPA Williams toured the Assisted Living and Independent Living buildings with the Director.

LPA Williams observed all staff wearing masks. The facility had the following PPE in storage; gowns, face shields, gloves, and masks.

LPA Williams observed residents in both buildings sitting in the dining room and eating food.

LPA Williams observed most residents with their bedrooms doors closed. Some resident had their bedroom doors open and were either watching television or resting.

The facility was free of obstructions, insects, and odors.

No deficiency was observed at this time.

An exit interview was conducted and a copy of this report was provided.
SUPERVISOR'S NAME: Serigy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Darius WilliamsTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021
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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