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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209136
Report Date: 02/22/2022
Date Signed: 03/07/2022 09:05:45 AM


Document Has Been Signed on 03/07/2022 09:05 AM - It Cannot Be Edited

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: 37DATE:
02/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Anthony Barbato, Licensee Representative TIME COMPLETED:
01:30 PM
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Licensing Program Manager (LPM) S. Moua and Licensing Program Analyst (LPA) K. Kaur conducted a joint inspection to the facility on this date. The purpose of the inspection was to conduct an Informal Meeting with the Licensee regarding the number of complaints that the facility has received since licensed on 5/18/2021.

LPM and LPA met with Licensee Representative, one of the managing partners of the LLC - Anthony Barbato.

LPM discussed that since licensed, the facility has received 11 complaints. Discussion took place regarding the following areas:

1. Proper assessment of potential residents
2. Age acceptance and retention and compatibility of residents
3. Hospice Care Waiver and Hospice residents with Total Care
4. Staffing
5. Facility's protocols/procedures on un-witness falls

LPM discussed what may be the ramifications if the facility is non-compliant. LPM discussed that the Department and the facility's LPA is available to assist with questions and concerns, that ultimately, the goal is the health and safety of the residents.

Exit Interview was conducted. No deficiencies were issued.
SUPERVISOR'S NAME: Andy XiongTELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: See MouaTELEPHONE: (559) 650-7904
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.

LIC809 (FAS) - (06/04)
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