157204130-3-27-2025-24-AS-SMOA-DG9KVQ-20250501081442

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157204130
Report Date: 03/27/2025
Date Signed: 03/27/2025 01:00:49 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 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
03/06/2025 and conducted by Evaluator Mai Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20250306160952

FACILITY NAME:	RIVERSTONE TERRACE SENIOR LIVING		FACILITY NUMBER:	157204130
ADMINISTRATOR:	RICE, DOUGLAS G.		FACILITY TYPE:	740
ADDRESS:	3209 BOOKSIDE DR		TELEPHONE:	(661) 663-9671
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93311
CAPACITY:	55	CENSUS: 20	DATE:	03/27/2025
		UNANNOUNCED	TIME BEGAN:	12:25 PM
MET WITH:	Benched Executive Director Angelina Rodriguez		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff do not respond to resident's call for assistance in a timely manner
Facility alarm is in disrepair
Facility does not have a certified Administrator

INVESTIGATION FINDINGS:

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On 03/27/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced a subsequent complaint visit and deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Benched Executive Director Angelina Rodriguez. Administrator Douglas Rice was called and unable to reach Administrator.

During the course of the investigation, the Department conducted interviews, toured the facility, and reviewed records. Staff responded to call signal within a timely manner. Fire alarm was tested and observation operational during investigation. Administrator certificate is currently valid.

Based on records reviewed, interviews conducted and observation, the preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Benched Executive Director, whose signature on this form confirms receipt of this report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: See Moua	TELEPHONE: (559) -65-7912
LICENSING EVALUATOR NAME: Mai Yang	TELEPHONE: 559-772-7402
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

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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