157209136-7-21-2022-24-AS-SMOA-CGXUAZ-20220803152531

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157209136
Report Date: 07/21/2022
Date Signed: 07/21/2022 02:48:39 PM

Unfounded

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
04/22/2022 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20220422114140

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: 40	DATE:	07/21/2022
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Medtech/Staff Barbara Martin		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Unlawful eviction

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) K.Kaur conducted an unannounced complaint visit. LPA K. Kaur met with Staff/Medtech Barbara Martin and discussed the purpose of the visit.

In regard to the allegation Unlawful eviction, LPA K. Kaur interviewed staff and reviewed documents. Resident (R1) could not afford to pay monthly rent due to loss of supplemental income from Kern Medical Center therefor other residence was sought and with the agreement of (R1’s) family; resident moved on her own accord.

This agency has investigated the complaint alleging Unlawful eviction. We have found that the complaint was UNFOUNDED, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis, therefore we have dismissed the complaint.

Exit interview conducted. A copy of this report was discussed and provided to Staff/Medtech Barbara Martin, whose signature on this form confirms receipt of this document.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: See Moua	TELEPHONE: (559) 580-4596
LICENSING EVALUATOR NAME: Kamaldeep Kaur	TELEPHONE: (559) 341-7449
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022

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 3