157206770-6-17-2022-24-AS-SPIY-CFGKE9-20220617074958

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157206770
Report Date: 12/13/2021
Date Signed: 06/17/2022 06:22:36 AM

Unfounded

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
06/15/2021 and conducted by Evaluator Les Xiong

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20210615105231

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:	DATE:	12/13/2021
		UNANNOUNCED	TIME BEGAN:	08:32 AM
MET WITH:	Benny Farillas		TIME COMPLETED:	10:48 AM

ALLEGATION(S):

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Licensee did not repair and service a resident's oxygen equipment
Facility staff are not giving a resident their oxygen
Facility staff are not assisting a resident with incontinence needs
Facility staff locked a resident in her bedroom
Facility is restricting visitation for a resident
Licensee is not allowing a resident to receive phone calls

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Les Xiong conducted the complaint investigation visit to the facility.
During the course of this investigation LPA reviewed facility files relevant tothe complaint investigation. It was determined that the above allegations: Licensee did not repair and service a resident's oxygen equipment, Facility staff are not giving a resident their oxygen, Facility staff are not assisting a resident with incontinence needs, Facility staff locked a resident in her bedroom, Facility is restricting visitation for a resident and
Licensee is not allowing a resident to receive phone calls are UNFOUNDED. During the investigation, the evidents indicated Resident R1's oxygen was administered as directed by her physician and serviced and brought to the facility by home health. R1's care were adequate and R1 was not confind to her room. All visitations ere followed as per court ordered and phone were available to her. This agency has investigated the complaint alleging (Resident R1's oxygen was administered as directed by her physician and serviced and brought to the facility by home health. R1's care were adequate and R1 was not confind to her room. All visitations ere followed as per court ordered and phone were available to her). We have found that the complaint was unfounded, therefore we have dismissed the complaint.

Unfounded

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: 12/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021

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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