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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209136
Report Date: 02/22/2022
Date Signed: 02/22/2022 01:08:03 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
02/17/2022 and conducted by Evaluator Kamaldeep Kaur
COMPLAINT CONTROL NUMBER: 24-AS-20220217151731
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: 37DATE:
02/22/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Licensee Representative Anthony Barbato TIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Residents has head lice
Insufficient food supply
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) K. Kaur and LPM S. Moua arrived at the facility unannounced to conduct an initial 10-day complaint inspection. Upon entry, temperature check was completed by Med Tech Barbara Martin.

LPA and LPM discussed the purpose of the visit and the elements of the allegations. LPM & LPA interviewed Staff, residents. Reviewed records and toured the facility.

During the tour LPA & LPM observed an adequate supply of food. Frozen meats and non-perishable and fresh fruits and vegetables were observed. Lunch was also being served LPA & LPM observed fish, salad, rice, bread, and cake on the menu.

Based on interviews conducted with staff the facility residents did have head lice however proper protocols were followed to eradicate the issue. Over the counter treatment was first administered and then followed by clinical treatment. The facility has no current cases of head lice at the moment. Therefor the above allegations are UNFOUNDED.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Brenda WhiteTELEPHONE: (550) 243-8080
LICENSING EVALUATOR NAME: Kamaldeep KaurTELEPHONE: (559) 341-7449
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022
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 2
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
02/17/2022 and conducted by Evaluator Kamaldeep Kaur
COMPLAINT CONTROL NUMBER: 24-AS-20220217151731

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: 37DATE:
02/22/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Licensee Representative Anthony Barbato TIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident room has not been cleaned
Insufficient staffing at night
Facility is not adhering to COVID-19 protocols
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) K. Kaur and LPM S. Moua arrived at the facility unannounced to conduct an initial 10-day complaint inspection. Upon entry, temperature check was completed by Med Tech Barbara Martin.

LPA and LPM discussed the purpose of the visit and the elements of the allegations. LPM & LPA interviewed Staff, residents. Reviewed records and toured the facility.

Based on interviews conducted with the staff Residents room are cleaned daily. Facility did follow COVID protocols however the residents in memory care resisted. There are no specific incidents of residents care not being provided due to lack of overnight staffing.

LPA did not discover any specific incidents related to the allegations. Based on the interviews conducted and records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brenda WhiteTELEPHONE: (550) 243-8080
LICENSING EVALUATOR NAME: Kamaldeep KaurTELEPHONE: (559) 341-7449
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022
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 2