157209136-12-1-2021-24-AS-SPIY-C9J23E-20211208160215

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157209136
Report Date: 12/01/2021
Date Signed: 12/01/2021 03:57:00 PM

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
09/20/2021 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20210920122813

FACILITY NAME:	REDWOOD SENIOR LIVING BAKERSFIELD		FACILITY NUMBER:	157209136
ADMINISTRATOR:	ESPINAL, KENNY		FACILITY TYPE:	740
ADDRESS:	810 S UNION AVE		TELEPHONE:	(415) 810-0145
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93307
CAPACITY:	41	CENSUS: 33	DATE:	12/01/2021
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Licensee Representative Anthony Barbato		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility is dirty.
Unlawful eviction.
Resident was sexually assaulted by another resident.
Staff not maintaining residents hygiene.
Staff not providing assistance to resident in a timely manner.
Resident sustained bladder infection while in care.
Staff did not provide 60-day notice prior to rent increase.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA)s Shawna Doucette and Kamaldeep Kaur contacted the facility to commence a complaint investigation. LPAs took COVID-19 pre-cautionary measures. LPA's were met at the entrance by Licensee Representative Anthony Barbato. LPAs identified themselves and discussed the purpose of the visit and the elements of the allegations to deliver findings with Licensee Anthony Barbato.

LPA's interviewed Staff and residents, reviewed records and toured the facility.

Based on observation, facility was dirty however this allegation was addressed on another complaint 24-AS-20210728164232 on 11/4/21. Licensee completed Plan of Correction.

Based on records review and interviews, facility did issue an unlawful eviction, however the allegation was addressed on a previous complaint 24-AS-20210831165239. Licensee completed Plan of Correction.

Based on interviews of Staff and Residents and records review the allegation of resident sexually assaulted by another resident was unable to be determined whether it happened or not. After intervewing staff, it was found that this incident occured over a year ago prior to the current Licensee taking over the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sergiy Pidgirny	TELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Shawna Doucette	TELEPHONE: (559) 580-4595
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021

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-20210920122813

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: REDWOOD SENIOR LIVING BAKERSFIELD	FACILITY NUMBER: 157209136
	VISIT DATE: 12/01/2021

NARRATIVE

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Based on resident interviews and staff interviews the allegation Staff not maintaining residents hygiene it was stated facility does not keep a log of residents ADL's but has a written policy that staff will check every resident every 30 minutes or as needed. After interviewing residents, it was found their hygiene needs were being met. It is unknown if there was an incident where R1's needs were not met.

Based on interviews of staff and residents, it is found staff are providing care in a timely manner. It is unknown if there was an incident where staff did not provide R1 care within a timely manner.

Based on records review and interviews resident did sustain a bladder infection while in care, however facility followed proper procedures by obtaining medical care for R1.

Based on records review and interviews, facility did provide 60-day notice prior to rent increase.

Although the allegations listed above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

LPA took R1's records to make copies and will return the records to the facility on 12/3/21.

An exit interview was conducted with Licensee Representative Anthony Barbato and a copy of this report was provided via email.

SUPERVISOR'S NAME: Sergiy Pidgirny	TELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Shawna Doucette	TELEPHONE: (559) 580-4595
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021

LIC9099 (FAS) - (06/04)

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