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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209136
Report Date: 10/24/2024
Date Signed: 11/13/2024 08:13:07 AM

Document Has Been Signed on 11/13/2024 08:13 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:REDWOOD SENIOR LIVING BAKERSFIELDFACILITY NUMBER:
157209136
ADMINISTRATOR/
DIRECTOR:
PONCE, BEATRIZFACILITY TYPE:
740
ADDRESS:810 S UNION AVETELEPHONE:
(415) 810-0145
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 41CENSUS: 40DATE:
10/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Beatriz Ponce, AdministratorTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On October 24, 2024, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced case management inspection to discuss Care and Supervision.

On September 9,2024, Community Care Licensing (CCL) received an incident report regarding two clients who had an altercation. One resident who thought another resident was not letting him pass in the hallway reacted by hitting him. This was witnessed by staff who stepped in and separated the clients. She observed there were no injuries and appropriately notified the necessary staff and also alerted the Sheriff Department and CCL.

Discussion was had regarding the appropriate response and to remind the staff to be vigilant in watching the client interaction and to take action when needed. Staff have been notified to speak with the residents, separate them and call appropriate parties if necessary. LPA interviewed 4 residents who all stated that the staff is very effective in their duties and handle resident issues or disputes in a quick and appropriate manner.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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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