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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157206891
Report Date: 01/21/2021
Date Signed: 01/22/2021 01:08:43 AM



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
11/20/2020 and conducted by Evaluator Lisa Salazar
COMPLAINT CONTROL NUMBER: 24-AS-20201120071051
FACILITY NAME:VILLAGE AT SEVEN OAKS ASSISTED LIVING, THEFACILITY NUMBER:
157206891
ADMINISTRATOR:HIDALGO, RICKAYFACILITY TYPE:
740
ADDRESS:4301 BUENA VISTA RDTELEPHONE:
(661) 837-1337
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:128CENSUS: 91DATE:
01/21/2021
UNANNOUNCEDTIME BEGAN:
03:07 PM
MET WITH:Ricky Hildalgo, Sr. Executive Director TIME COMPLETED:
04:23 PM
ALLEGATION(S):
1
2
3
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5
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8
9
Facility food was of poor quality.
Facility staff did not treat residents with dignity and respect.
Facility did not provide residents transportation to medical appointments.
Facility did not pick up residents from appointments on a timely basis.
Residents were ignored and did not receive mail for several days as a form of retaliation.
Facility staff mismanaged residents' medications.
Facility was in disrepair.
Facility staff did not monitor residents' weight on a regular basis.
INVESTIGATION FINDINGS:
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2
3
4
5
6
7
8
9
10
11
12
13
On 01/21/2021, Licensing Program Analyst (LPA) L. Salazar contacted the facility to deliver findings on the above complaint allegations. Facility was contacted via telephone due to COVID-19 and pre-cautionary measures. LPA spoke with Executive Director.
During the course of the investigation, LPA Salazar obtained the following information from the facility: Menus; Medication Administration Records; Admission Agreement including transportation, medical appointments, and resident mail policies.
Licensing forms for Resident R1 and Resident R2:
LIC 500 -Staff Schedule for 09/2020 and 10/2020
LIC 602 -Physicians report
LIC 618 -Weight Record
LIC 622 -Centrally Stored Medication & Destruction Record (CSMDR)
(Continued on LIC 9099-C)
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) -65-7914
LICENSING EVALUATOR NAME: Lisa SalazarTELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2021
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 2
Control Number 24-AS-20201120071051
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: VILLAGE AT SEVEN OAKS ASSISTED LIVING, THE
FACILITY NUMBER: 157206891
VISIT DATE: 01/21/2021
NARRATIVE
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(continued from 9099)

LPA conducted all records reviews and interviews. Based on the information received, It was determined that the allegations are UNFOUNDED. No deficiencies cited.

An exit interview was conducted with Administrator via telephone and a copy of this report was provided to Executive Director, Rickay Hildalgo via email and an electronic email read receipt confirms receiving these documents.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) -65-7914
LICENSING EVALUATOR NAME: Lisa SalazarTELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2