157206770-2-10-2021-24-AS-SPIY-BYPVZ6-20210301155211

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157206770
Report Date: 02/10/2021
Date Signed: 02/10/2021 04:38:27 PM

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
04/10/2020 and conducted by Evaluator Les Xiong

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20200410145339

FACILITY NAME:	POINTE AT SUMMIT HILLS, THE		FACILITY NUMBER:	157206770
ADMINISTRATOR:	BENNY FARILLAS		FACILITY TYPE:	740
ADDRESS:	4501 UPLAND POINT DRIVE		TELEPHONE:	(661) 343-3244
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93306
CAPACITY:	102	CENSUS: 70	DATE:	02/10/2021
		UNANNOUNCED	TIME BEGAN:	11:21 AM
MET WITH:	Benny Farillas		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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R1 was over medicated and sedated while residing at Pointe at Summit Hills.

INVESTIGATION FINDINGS:

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Consistent with federal guidelines and Executive Order issued by Governor Gavin Newsom to improve infection control and prevent the transmission of COVID-19 to our most vulnerable and high-risk residents, the Department conducted this inspection by phone. On this date Licensing Program Analyst (LPA) L. Xiong conducted a Complaint tele-visit to deliver investigation findings regarding the above allegation with Administrator Benny Farillas.
During the course of the investigation, the Department interviewed staff on duty and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegation is UNSUBSTANTIATED. There was no information to indicate an increase or inappropriate dosage of medications were given that caused R1 to be unable to remain awake during the video call. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sergiy Pidgirny	TELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Les Xiong	TELEPHONE: (559) 410-1772
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2021

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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