157206770-9-19-2022-24-AS-SPIY-CKCV3T-20221019160514

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157206770
Report Date: 09/19/2022
Date Signed: 09/19/2022 04:45:11 PM

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
09/28/2021 and conducted by Evaluator Les Xiong

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20210928173223

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:	09/19/2022
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Gracie Ramirez		TIME COMPLETED:	05:31 PM

ALLEGATION(S):

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Resident sustained unexplained bruising while in care.
Resident sustained a fracture while in care.
Facility staff do not treat resident with dignity and respect.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Gracie Ramirez, Office Manager and informed her the purpose of the visit.
During the course of this investigation LPA reviewed facility files and spoke to staff and individuals relevant to the complaint investigation. It was determined that the above allegations: Resident sustained unexplained bruising while in care, Resident sustained a fracture while in care, and Facility staff do not treat resident with dignity and respect are UNFOUNDED. Resident R1 had an incident and was sent to the hospital for treatment timely. There was no evidence of neglect or abuse or any disrespectful toward R1. This agency has investigated the complaint alleging (Lack of supervision resulting in resident's fall). 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) 246-0610
LICENSING EVALUATOR NAME: Les Xiong	TELEPHONE: (559) 410-1772
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022

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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