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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208773
Report Date: 08/15/2022
Date Signed: 08/15/2022 11:34:29 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
04/06/2022 and conducted by Evaluator Kamaldeep Kaur
COMPLAINT CONTROL NUMBER: 24-AS-20220406135133
FACILITY NAME:JASMIN TERRACE AT BAKERSFIELDFACILITY NUMBER:
157208773
ADMINISTRATOR:ELECO, RAMONA D.FACILITY TYPE:
740
ADDRESS:5400 STINE ROADTELEPHONE:
(661) 398-8802
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:99CENSUS: 79DATE:
08/15/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Ramona ElecoTIME COMPLETED:
11:31 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff not properly caring for resident's wound.
Facility has insects.
Facility trash is not being disposed of.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) K. Kaur and Licensing Program Manager S. Moua conducted a subsequent complaint inspection to deliver findings. LPA and LPM met with Administrator Ramona and discussed the findings.

The Department has interviewed staff and residents, toured the facility, and reviewed records. Based on interviews conducted, observations, and records reviewed, the above allegations are Unsubstantiated. The facility implemented monthly pest control services in every room of the facility. The facility is cleaned on a daily basis by three housekeepers. LPA and LPM did not observed overflow of trash. Residents with wounds are on hospice and wound care is provided by hospice or home health by skilled medical professionals.

Exit Interview was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) 580-4596
LICENSING EVALUATOR NAME: Kamaldeep KaurTELEPHONE: (559) 341-7449
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
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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