157206891-5-31-2022-24-AS-MHON-CJ4PLY-20220909112530

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157206891
Report Date: 05/26/2022
Date Signed: 05/31/2022 09:57:34 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
05/10/2022 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20220510133303

FACILITY NAME:	VILLAGE AT SEVEN OAKS ASSISTED LIVING, THE		FACILITY NUMBER:	157206891
ADMINISTRATOR:	GARZA-DAVIDSON, SAMANTHA		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:	02:15 PM
MET WITH:	Executive Director ,Edie Cano		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff did not respond timely to resident's alerts
Staff left residents unattended while in care
Staff did not provide adequate care and supervision to the residents

INVESTIGATION FINDINGS:

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On 05/26/2022, Licensing Program Analyst (LPA) L. Salazar arrived the facility unannounced to deliver findings on the above complaint allegations. LPA was greeted by Administrator, 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 reviewed records facility's call system database. Records reveal there was no call alarm activated the morning in question. LPA reviewed staff scheduled and observed 8 staff to be on shift for 40 residents in care

LPA reviewed resident and facility records and conducted interviews with staff. Records review revealed, Resident R1's LIC 602a does not state R1 need one on one supervision.
We have found that the complaint was unfounded, meaning that the allegation is false, could not have happened and or is without reasonable basis.

Unfounded

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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