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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209136
Report Date: 05/10/2021
Date Signed: 05/10/2021 11:51:53 AM

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:REDWOOD SENIOR LIVING BAKERSFIELDFACILITY NUMBER:
157209136
ADMINISTRATOR:ESPINAL, KENNYFACILITY TYPE:
740
ADDRESS:810 S UNION AVETELEPHONE:
(415) 810-0145
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:41CENSUS: 40DATE:
05/10/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Anthony Barbato, CEO TIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) S. Moua conducted a Prelicensing Televisit on this date. Televisit was conducted over Zoom with CEO Anthony Barbato. Administrator Kenny was present. Inspection is for the change of ownership of a current licensed facility. A complete tour, inside and out, was conducted.

Facility was observed at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Common areas were properly furnished and well-lit throughout. Social distancing is maintained. The tour started in the kitchen. A sufficient supply of perishable and non-perishable food were observed. Medications are kept locked and secured in the office. Residents bedrooms were observed to be adequately furnished with bed, dresser, and adequate lightning. Mattresses and box springs appeared in good condition. Bathrooms were properly equipped with non-skid mats and securely fastened grab bars. Hot water was tested between 110 degrees F. An adequate supply of linens and personal hygiene supplies were observed. There are no bodies of water outside. Fire extinguisher was observed with a service date of: 9/28/2020. Carbon monoxide and smoke detectors were tested and observed to be operational. Cleaning supplies and chemicals were observed locked. First Aid Kit was checked and observed to have the required supplies. Emergency exit plan, phone numbers, and required postings were observed. Visitors sign-in was observed. A working telephone was present.

Component III was completed. Requirements were met. Pre-licensing is complete and this facility has no deficiencies.
SUPERVISOR'S NAME: Andy XiongTELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: See MouaTELEPHONE: (559) 650-7904
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2021
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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