157208773-5-23-2023-24-AS-BCHN-CS5MCK-20230524092941

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157208773
Report Date: 05/18/2023
Date Signed: 05/23/2023 01:57:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
02/07/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20230207130450

FACILITY NAME:	JASMIN TERRACE AT BAKERSFIELD		FACILITY NUMBER:	157208773
ADMINISTRATOR:	ELECO, RAMONA D.		FACILITY TYPE:	740
ADDRESS:	5400 STINE ROAD		TELEPHONE:	(661) 398-8802
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	99	CENSUS: 80	DATE:	05/18/2023
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Administrator, Ramona Eleco		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff inappropriately touched resident
Staff failed to prevent residents from being inappropriately touched by another resident
Staff handled residents in a rough manner
Staff failed to provide a safe and comfortable environment for residents
Staff failed to safeguard resident's personal belongings
Staff mismanaged resident's medication
Staff failed to meet resident's needs
Staff failed to treat resident with dignity and respect

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on a complaint investigation. LPA Hurt met with facility Administrator Ramona Eleco, and explained the purpose of today's visit.

Regarding the allegation staff inappropriately touched resident. Department of Social Services previously investigated the allegation of Reporting Party (RP) being inappropriately touched by Staff 1. Due to inconsistent statements obtained from RP during interviews, and law enforcement also indicating insufficient information that a crime was committed this was found to be UNSUBSTANTIATED Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Continued...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

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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Control Number 24-AS-20230207130450

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: JASMIN TERRACE AT BAKERSFIELD	FACILITY NUMBER: 157208773
	VISIT DATE: 05/18/2023

NARRATIVE

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..Continued

Regarding the allegation staff failed to prevent residents from being inappropriately touched by another resident. RP initially stated Resident 1 informed RP that Resident 2 was inappropriately touching Resident 3, and Resident 4. RP then changed the story and stated they witnessed these incidents happen. During interviews conducted Resident 3, and Resident 4 both deny being inappropriately touched by Resident 2. Based on interviews conducted during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation staff handled residents in a rough manner. RP offered broad, and insufficient information regarding the incident of Staff 1 handling residents roughly. RP stated sometime in May or June 2022, Staff 1 who used to work at the facility handled the other residents in a rough manner and on an unknown date pushed a resident (Name unknown). Department of Social Services was unable to interview the resident allegedly pushed by Staff 1 as RP never provided a name during the investigation. Based on interviews conducted during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation staff failed to provide a safe and comfortable environment for residents. LPA Hurt interviewed 3 facility Residents who all stated they did feel safe and comfortable at the facility. The three residents interviewed stated staff is nice and treats them very well. Resident 6 stated they feel safe living at the facility and is very happy with the living situation. Resident 6 stated the caregivers, office staff, and even kitchen make the residents feel comfortable at the facility. LPA Hurt observed facility staff having positive interactions with Residents, including playing games, raffling prizes, and giving them dessert. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

LIC9099 (FAS) - (06/04)

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Control Number 24-AS-20230207130450

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: JASMIN TERRACE AT BAKERSFIELD	FACILITY NUMBER: 157208773
	VISIT DATE: 05/18/2023

NARRATIVE

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...Continued

Regarding the allegation staff failed to safeguard resident's personal belonging. RP stated during interviews RP witnessed Staff 2 remove a wallet from Resident 5’s pocket and pass to another unnamed facility staff member. Resident 5 is no longer a resident at the facility and is not available to be interviewed. Facility Administrator stated Resident 5 often picked up items at the dining tables such as sugar, plastic spoons, and any items out on the table. Facility Administrator stated Resident 5 was unable to handle money, and never had a wallet. Staff 2 stated during interview they would reach into Resident 5’s pockets to remove sugar packets or any items collected and put in their pockets during mealtimes. Facility Administrator, and Staff 2’s recollection of events are identical. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation staff mismanaged resident's medication. RP stated during interviews RP does not sleep well and wants to be given meds before the usual 0400 a.m. to 0600 a.m. regularly scheduled medication pass so RP can go back to sleep. RP stated medications are being given daily but RP wants them at a specific time outside of the normal schedule, and the facility is not accommodating this request. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

LIC9099 (FAS) - (06/04)

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Control Number 24-AS-20230207130450

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: JASMIN TERRACE AT BAKERSFIELD	FACILITY NUMBER: 157208773
	VISIT DATE: 05/18/2023

NARRATIVE

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..Continued

Regarding the allegation staff failed to meet resident's needs. LPA Hurt spoke with 3 facility residents who all stated the staff assists them with their needs, and their needs are being met. Resident 6 stated facility staff will go above and beyond to assist residents with their needs. Based on interviews conducted during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation staff failed to treat resident with dignity and respect. LPA Hurt interviewed 3 facility residents stated staff does treat them with dignity and respect. The three residents interviewed stated staff is nice and treats them very well. Resident 6 stated they have never witnessed facility staff being anything but respectful to the residents. Based on interviews conducted during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies cited today Per Title 22 Regulations.

Exit interview conducted with Administrator Ramona Eleco, and a copy of this report provided.

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

LIC9099 (FAS) - (06/04)

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