157206891-9-26-2022-24-AS-MHON-CJNNDC-20220927102208

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157206891
Report Date: 09/22/2022
Date Signed: 09/26/2022 07:33:50 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
06/10/2022 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20220610115852

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: 76	DATE:	09/22/2022
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Krystal Jenkins, Administrator		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Resident's Representative was not given proper eviction notice for resident in care. Resident's Representative is not being provided records requested

INVESTIGATION FINDINGS:

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On 09/22/22, Licensing Program Analysts (LPAs) L. Salazar Melinda Medina, and Licensing Program Manager (LPM) Melinda Hoffmann arrived at the facility unannounced to deliver findings on the above allegations. LPAs and LPM were greeted by receptionist, stated purpose of the visit and were allowed entry into the facility. COVID precautionary measures were taken at the time of entry. LPAs and LPM toured the memory care unit of the facility.

During the investigation, LPA conducted interviews and reviewed records. Interviews revealed a verbal conversation was made to Resident R1's responsible party (RP) regarding a care conference meeting that was requested to discuss immediate concerns with R1's placement. Interviews confirmed, no written eviction letter was served on R1's RP. Facility was not obligated to provide staff training records to responsible party.

We have found that the complaint was UNFOUNDED, meaning that the allegations are false, could not have happened and or is without reasonable basis, therefore, we have dismissed the complaint. No deficiencies cited. Exit interview conducted and a copy of this report was provided to the Administrator.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Lisa Salazar	TELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

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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