157204131-9-9-2026-24-AS-SMOA-DYEMEJ-20260930093245

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157204131
Report Date: 09/09/2026
Date Signed: 09/09/2026 01:52:06 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
09/02/2026 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20260902100404

FACILITY NAME:	RIVERSTONE TERRACE SENIOR LIVING MEMORY CARE		FACILITY NUMBER:	157204131
ADMINISTRATOR:	RICE, DOUGLAS G.		FACILITY TYPE:	740
ADDRESS:	3115 BROOKSIDE DR		TELEPHONE:	(661) 663-9671
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93311
CAPACITY:	40	CENSUS: 30	DATE:	09/09/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Douglas Rice, Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Licensee is not following adequate infection control protocols

INVESTIGATION FINDINGS:

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On 09/9/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial complaint investigation. LPA met with Administrator Douglas Rice and stated the purpose of the visit. LPA delivered complaint findings on the above allegation during visit.

During the course of the investigation, records were reviewed, the facility was toured, and interviews were conducted. Residents were isolated, PPE supplies were available for residents and staff, and staff disinfected facility and worn PPE per infection control plan when infection disease was present at the facility.

Based on interviews conducted, the preponderance of evidence standard has not been met, therefore, the above allegation is found to be UNSUBTANTIATED. Exit interview was conducted. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026

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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