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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157204131
Report Date: 03/03/2022
Date Signed: 08/29/2022 11:25:21 AM


Document Has Been Signed on 08/29/2022 11:25 AM - It Cannot Be Edited

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:PACIFICA SENIOR LIVING BAKERSFIELD MEMORY CAREFACILITY NUMBER:
157204131
ADMINISTRATOR:BRADFORD, CASSONDRAFACILITY TYPE:
740
ADDRESS:3115 BROOKSIDE DRTELEPHONE:
(661) 663-9671
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:40CENSUS: DATE:
03/03/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Marlene Nelson, Licensee Representative
Cassondra Bradford, Administrator
Joel Goldman, Attorney/ Licensee Representative		TIME COMPLETED:
11:30 AM
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On March 3, 2022 an office meeting was conducted virtually, via Microsoft Teams.
Present during the virtual meeting are: CCLD staff from Sacramento South RO, Fresno RO, CCLD Audit Section and Licensee Representatives.

The following issues/ concerns associated with the operation of the facility were brought forward and discussed with the Licensee/ Licensee Representative(s):
  • Complaint history/ pending complaints and compliance of the facility with all applicable laws and regulations.
  • The involvement of Cassondra Bradford, Administrator of PACIFICA SENIOR LIVING BAKERSFIELD 157204130 and PACIFICA SENIOR LIVING BAKERSFIELD MEMORY CARE 157204131 in operations of any other licensed facilities including but not limited to PACIFICA SENIOR LIVING MERCED 247206921.

  • It was determined during this meeting that Cassondra Bradford, Administrator of PACIFICA SENIOR LIVING BAKERSFIELD 157204130 and PACIFICA SENIOR LIVING BAKERSFIELD MEMORY CARE 157204131 acts as an owner's representative in terms of conducting oversight for a lease (asset management) for community in the city of Merced. Note: Pacifica owners collectively known as PACIFICA BAKERSFIELD LP and/or PACIFICA SENIOR LVG MGT
  • It was determined during this meeting that Cassondra Bradford, Administrator of PACIFICA SENIOR LIVING BAKERSFIELD 157204130 and PACIFICA SENIOR LIVING BAKERSFIELD MEMORY CARE 157204131 acts as a Regional Director for a total of five (5) other facilities under the umbrella of PACIFICA BAKERSFIELD LP and/or PACIFICA SENIOR LVG MGT .
SUPERVISOR'S NAME: Brenda WhiteTELEPHONE: (559) 243-8080
LICENSING EVALUATOR NAME: Sergiy PidgirnyTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2022
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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