157206891-5-31-2022-24-AS-MHON-CJ4M5W-20220909091900

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157206891
Report Date: 05/26/2022
Date Signed: 05/31/2022 09:53:29 AM

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
05/20/2022 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20220520114458

FACILITY NAME:	VILLAGE AT SEVEN OAKS ASSISTED LIVING, THE		FACILITY NUMBER:	157206891
ADMINISTRATOR:	CANO, EDIE		FACILITY TYPE:	740
ADDRESS:	4301 BUENA VISTA RD		TELEPHONE:	(661) 837-1337
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93311
CAPACITY:	128	CENSUS: 80	DATE:	05/26/2022
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Edie Cano, Administrator		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Facility has an infestation of bedbugs
Facility has rodents

INVESTIGATION FINDINGS:

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On 05/26/2022, Licensing Program Analyst (LPA) L. Salazar arrived the facility unannounced to conduct the required 10 day site inspection. LPA was greeted by Adminsitrator, stated the purpose of the visit and was allowed entry into the facility. COVID precautionary measures were taken at the time of entry.

During the investigation, LPA toured the facility inside and out. LPA conducted room inspections and interviews with resident's in care.

Based on LPA’s observation of facility's incident reports, interviews with staff and residents in care and tour of the facility. LPA did not observe evidence of mice or rodent droppings. 2 rooms had been treated for bed bugs months prior. LPA did not observe any presence of bedbugs.

Although the allegation may have happened, there is not a preponderance of evident to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. Exit interview conducted and copy of report was left with licensee.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) -65-7914
LICENSING EVALUATOR NAME: Lisa Salazar	TELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022

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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