157208773-6-21-2023-24-AS-MHON-CUSVE6-20230817162148

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157208773
Report Date: 06/21/2023
Date Signed: 06/21/2023 04:07:10 PM

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
02/08/2023 and conducted by Evaluator Melinda Medina

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230208151352

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: 81	DATE:	06/21/2023
		UNANNOUNCED	TIME BEGAN:	11:59 AM
MET WITH:	Ramona Eleco		TIME COMPLETED:	01:56 PM

ALLEGATION(S):

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Resident sustained a severe fracture due to staff neglect
Staff are not preventing resident from smoking in the room
Staff did not prevent resident from engaging in inappropriate behaviors

INVESTIGATION FINDINGS:

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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda Medina	TELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 24-AS-20230208151352

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: JASMIN TERRACE AT BAKERSFIELD	FACILITY NUMBER: 157208773
	VISIT DATE: 06/21/2023

NARRATIVE

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Based on interviews conducted, the allegation of staff are not preventing resident from smoking in the room is UNSUBSTANTIATED. During facility tour, LPA observed room to be odor free, R1 is in a shared room and roommate is a smoker, however smoking is only allowed outside in designated smoking area. Administrator stated during interview that there was one occurrence where staff observed a smoked cigarette bud in an empty soda bottle while cleaning the room.

Based on interviews conducted, the allegation of staff did not prevent resident from engaging in inappropriate behaviors is UNSUBSTANTIATED. During interviews, there was no knowledge of any resident being present in the dining room during meal time without clothing.

This Department has investigated the complaint alleging the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies cited.

Exit interview conducted with Administrator and a copy of this report provided for facility records

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda Medina	TELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

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
02/08/2023 and conducted by Evaluator Melinda Medina

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230208151352

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: 81	DATE:	06/21/2023
		UNANNOUNCED	TIME BEGAN:	11:59 AM
MET WITH:	Ramona Eleco		TIME COMPLETED:	01:56 PM

ALLEGATION(S):

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Staff are not meeting residents hygiene needs

INVESTIGATION FINDINGS:

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On 6/21/2023, Licensing Program Analyst (LPA) M. Medina conducted a subsequent visit to deliver findings on this complaint. LPA met with Ramona Eleco and stated purpose of visit. During the course of the investigation, LPA toured facility, conducted interviews and gathered documentation.

Based on record review and interviews conducted, it was determined that the facility has a shower schedule and documents for all residents when they are showered and when a shower is refused by resident. Based on interviews and records review, this agency has investigated the complaint alleging staff are not meeting residents hygiene needs.

The Department has 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. An exit interview was conducted and a copy of this report was provided to Administrator for facility records.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda Medina	TELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 3