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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206891
Report Date: 05/25/2022
Date Signed: 06/14/2022 11:11:14 AM


Document Has Been Signed on 06/14/2022 11:11 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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, THEFACILITY NUMBER:
157206891
ADMINISTRATOR:CANO, EDIEFACILITY TYPE:
740
ADDRESS:4301 BUENA VISTA RDTELEPHONE:
(661) 837-1337
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:128CENSUS: DATE:
05/25/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
09:56 AM
MET WITH:TIME COMPLETED:
10:45 AM
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An informal meeting via Microsoft Teams was held at the Fresno Adult and Senior Care Regional Office, to discuss incidents and deficiencies. Present at this meeting were the following:

Lisa Salazar, Licensing Program Analyst

Melinda Hoffmann, Licensing Program Manager

Edie Cano, Administrator/Executive Director

Ricky Hidalgo, Vie President of Operations

Deficiencies and incident reports were discussed, and management was informed that facility must come into compliance with regulations. Management also informed that licensing inspections may be increased until such time it can be observed that facility is in substantial compliance.

Facility was offered technical assistance with meeting this goal. Management was also informed that this informal meeting is part of the Administrative Action process and failure to maintain compliance may result in a Non-Compliance Conference and/or referral to the Department of Social Services (DSS) Legal Division for administrative review.

SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) -65-7914
LICENSING EVALUATOR NAME: Lisa SalazarTELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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