157209136-2-1-2024-24-AS-SPIY-D33R3V-20240305114028

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157209136
Report Date: 02/01/2024
Date Signed: 02/01/2024 12:33:44 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
01/23/2024 and conducted by Evaluator Lissett Padgett

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20240123143251

FACILITY NAME:	REDWOOD SENIOR LIVING BAKERSFIELD		FACILITY NUMBER:	157209136
ADMINISTRATOR:	PONCE, BEATRIZ		FACILITY TYPE:	740
ADDRESS:	810 S UNION AVE		TELEPHONE:	(415) 810-0145
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93307
CAPACITY:	41	CENSUS: 39	DATE:	02/01/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Beatriz Ponce, Administrator		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Staff did not ensure facility was free from pests
Staff are not taking universal precautions for an outbreak

INVESTIGATION FINDINGS:

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LPA toured the facility with AD and did not observe live cockroaches or other pests. AD provided LPA with pest control invoices that show this facility has Pest Control services once a month.
LPA interviewed staff and AD regarding procedures used during recent COVID outbreak. AD was also in communication with Kern DPH during the outbreak for guidance. Based on interviews with staff, LPA found them to be in compliance with current COVID guidance.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Sergiy Pidgirny	TELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Lissett Padgett	TELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024

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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