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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208773
Report Date: 07/23/2025
Date Signed: 07/23/2025 11:56:09 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
05/28/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250528135847
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: 76DATE:
07/23/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator RamonaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility does not meet resident’s special diet
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation. LPA was granted entry into the facility by Staff Amilyn Aguil. LPA met with Administrator Ramona Elecon and explained the purpose of the visit.

LPA reivewed records.

Based on records review and observation of food supplies, the allegation Facility does not meet resident’s special diet, the facility did not offer sugar free or low carb desserts for diabetic residents. R4 has an order for low carb and limit sweets. Facility menu shows pudding and ice cream is served. Facility does not have a sugar free option for diabetic residents in care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
05/28/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250528135847

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: 76DATE:
07/23/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator RamonaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff does not ensure facility is kept free of pests at all times for residents in care
Licensee does not ensure that the facility is clean and maintained in good repair
Staff do not ensure residents needs are met
Staff do not ensure residents personal property is safely secured
Staff do not ensure adequate care and supervision is provided resulting in resident elopement
Licensee does not ensure fire drills are conducted in the facility
Staff does not ensure sufficient activities are provided for residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation. LPA was granted entry into the facility by Staff Amilyn Aguil. LPA met with Administrator Ramona Eleco and explained the purpose of the visit.

LPA interviewed staff and residents. LPA reviewed records and otained copies of records.
Based on records review and interviews, the allegation Staff does not ensure facility is kept free of pests at all times for residents in care is undetermined if the allegation is valid. The facility has a monthly pest control service and is following the pest control recommendations monthly.

Based on records review and observation, the allegation Licensee does not ensure that the facility is clean and maintained in good repair is undetermined if the allegation is valid. LPA toured the facility on 6/4/25 and on 06/25/25 for an annual inspection and found the inside and outside to be maintained and in good repair. Facility has a gardener to maintain
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 24-AS-20250528135847
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: JASMIN TERRACE AT BAKERSFIELD
FACILITY NUMBER: 157208773
VISIT DATE: 07/23/2025
NARRATIVE
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outside.

Based on records review and interviews, the allegation Staff do not ensure residents needs are met is undetermined if this allegation is valid. LPA reviewed shower and incontinence schedule showing how often residents are showering and being changed. Residents are being showered and changed regularly. Interviews indicate residents are being showered and changed regularly.

Based on interviews, the allegation Staff do not ensure residents personal property is safely secured it is undetermined if this allegation is valid. Administrator does not have any reports of any property being stolen. Administrator has had issues with residents thinking a shirt is theirs because several residents have white shirts that are similar or the same. Administrator stated she started writing the name on the shirt tags to prevent confusion. Facility rooms all have locks on doors, so residents are able to lock rooms to prevent others from going in their rooms.

Based on interviews, the allegation Staff do not ensure adequate care and supervision is provided resulting in resident elopement, it is undetermined if this allegation is valid. Interviews indicate facility has not had any elopements that have not been addressed. Prior to this complaint, Administrator stated the last elopement was in January 2025.

Based on records review and interviews, the allegation Licensee does not ensure fire drills are conducted in the facility is undetermined if this allegation is valid. Facility records show disaster/fire drills were conducted 1/2025, 2/2025 and 5/2025. Administrator stated drills are conducted regularly. LPA obtained copies of drills with staff signatures showing completed.

Based on interviews, observation and records review, the allegation Staff does not ensure sufficient activities are provided for residents in care in undetermined if the allegation is valid. LPA observed a calendar in the dining room showing daily activities. LPA observed residents playing bingo, watching movies, listening to music and doing exercises during visits at the facility.

Based on records review, observation and interviews, it is undetermined whether or not the allegations occurred. 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.

A copy of this report was provided to Administrator.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 24-AS-20250528135847
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: JASMIN TERRACE AT BAKERSFIELD
FACILITY NUMBER: 157208773
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2025
Section Cited
CCR
87555(b)(7)
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87555 General Food Service Requirements (b) The following food service requirements shall apply:(7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met
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Plan of Correction: Licensee agrees to meet this regulation by providing foods the meet the needs of the specialized diets. LPA will clear via visit. POC cleared during visit.
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as evidenced by: Licensee is not providing sugar free options for desert to meet the requirements of R4's specialized diet, which poses a potential health safety and or personal right risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4