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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157206770
Report Date: 11/29/2022
Date Signed: 11/29/2022 03:14:07 PM

Unsubstantiated


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
08/08/2022 and conducted by Evaluator Lady Cabrera
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20220808110307
FACILITY NAME:POINTE AT SUMMIT HILLS, THEFACILITY NUMBER:
157206770
ADMINISTRATOR:BENNY FARILLASFACILITY TYPE:
740
ADDRESS:4501 UPLAND POINT DRIVETELEPHONE:
(661) 343-3244
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:102CENSUS: 55DATE:
11/29/2022
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Gracie Ramirez, Interim AdministratorTIME COMPLETED:
03:12 PM
ALLEGATION(S):
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Residents are left in soiled diapers
Residents are not being showered timely
Residents are being left in dirty clothes
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) L. Cabrera conducted the complaint investigation visit to the facility. LPA met with Gracie Ramirez, Interim Administrator. During this visit LPA delivered investigation findings regarding the above allegations. The Department has investigated the complaint alleging: Residents are left in soiled diapers, Residents are not being showered timely, and Residents are being left in dirty clothes.

Per records reviewed and interviews, hospice assisted with bathing and would visit hospice residents often. Hospice reported no concerns regarding the care of the residents at the facility. Per resident and staff interviews, residents were checked by facility staff and assisted residents with their incontinence needs. Per records reviewed and interviews, residents would sometimes refuse baths/showers and facility staff would assist them with changing of their clothes. It was reported that facility used Around the Clock Caregivers when staff called out of work. LPA was unable to determine if the allegations were regarding facility staff or the Around the Clock Caregivers.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 513-9832
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 24-AS-20220808110307
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: POINTE AT SUMMIT HILLS, THE
FACILITY NUMBER: 157206770
VISIT DATE: 11/29/2022
NARRATIVE
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Based on the interviews conducted and records review the above allegations are UNSUBSTANTIATED. 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 allegations are unsubstantiated.

Exit interview was conducted. Appeal rights were provided.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 513-9832
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
08/08/2022 and conducted by Evaluator Lady Cabrera
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20220808110307

FACILITY NAME:POINTE AT SUMMIT HILLS, THEFACILITY NUMBER:
157206770
ADMINISTRATOR:BENNY FARILLASFACILITY TYPE:
740
ADDRESS:4501 UPLAND POINT DRIVETELEPHONE:
(661) 343-3244
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:102CENSUS: 55DATE:
11/29/2022
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Gracie Ramirez, Interim AdministratorTIME COMPLETED:
03:12 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Residents are not being feed
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) L. Cabrera conducted the complaint investigation visit to the facility. LPA met with Gracie Ramirez, Interim Administrator.

During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegation: Residents are not being feed is UNFOUNDED. Per Physician’s Report, the residents can feed themselves. Per records reviewed and interviews, facility staff will prop up resident and setup for resident to feed themselves. Per interviews and records, residents would refuse food or to eat, facility staff would offer other food items, encouraged residents to eat or assist them with feeding if needed. Per records reviewed, facility would monitor food intake of Resident (R2) and notified primary physician when R2 refused to eat. This agency has investigated the complaint alleging (Residents are not being feed). We have found that the complaint was unfounded, therefore we have dismissed the complaint.

Exit interview conducted.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 513-9832
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3