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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209304
Report Date: 08/16/2025
Date Signed: 08/16/2025 01:44:45 PM

Substantiated


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
06/06/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250606105352
FACILITY NAME:HALLMARK OF BAKERSFIELDFACILITY NUMBER:
157209304
ADMINISTRATOR:CANDELAS, ASHLEY L.FACILITY TYPE:
740
ADDRESS:2001 AKERS ROADTELEPHONE:
(661) 834-0200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:99CENSUS: 60DATE:
08/16/2025
UNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Administrator Tiffany LuacesTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff do not administer resident's medication in a timely manner
Staff mismanage resident's medication
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced for a complaint investigation. LPA was granted entry by Staff Monica Anayas. LPA contacted Administrator via telephone who advised Wellness Director Tiffany Luaces would respond to assist with the visit. LPA met with Tiffany Luaces.

LPA interviewed staff and residents. LPA reviewed records.

Based on records review and interviews, allegation Staff do not administer resident's medication in a timely manner, R1's medications show administered twice on the morning of May 6, 2025 once at 7:46 AM and at 9:42 AM for Buspirone and Carvedilol. Facility crossed out the 9:42 AM medication on these two and left the 7:46 AM medication. On May 16. 2025 Fluxotine shows it is supposed to be administered at 8 am and was not administered until 10:05 AM. On May 6, 2025 Losartan is supposed to be administered at 8 am and was not administered until 10:25 am according to records.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2025
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 5
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
06/06/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250606105352

FACILITY NAME:HALLMARK OF BAKERSFIELDFACILITY NUMBER:
157209304
ADMINISTRATOR:CANDELAS, ASHLEY L.FACILITY TYPE:
740
ADDRESS:2001 AKERS ROADTELEPHONE:
(661) 834-0200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:99CENSUS: 60DATE:
08/16/2025
UNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Administrator Tiffany LuacesTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff do not ensure elevator is in good repair
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced for a complaint investigation. LPA was granted entry by Staff Monica Anayas. LPA contacted Administrator via telephone who advised Wellness Director Tiffany Luaces would respond to assist with the visit. LPA met with Tiffany Luaces.

LPA interviewed staff and residents. LPA reviewed records.

Based on records review and interviews, the allegation Staff do not ensure elevator is in good repair, Administrator contacted the elevator company immediately after she was notified of it being down. LPA observed call log showing Administrator contacting the elevator company multiple times. Interviews indicated facility came up with an additional plan purchasing stair case ramps to assist residents down the stair case in addition to already having an emergency stair case chair.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 24-AS-20250606105352
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: HALLMARK OF BAKERSFIELD
FACILITY NUMBER: 157209304
VISIT DATE: 08/16/2025
NARRATIVE
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Based on interviews and records review, it is undetermined whether or not the allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.


An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 24-AS-20250606105352
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: HALLMARK OF BAKERSFIELD
FACILITY NUMBER: 157209304
VISIT DATE: 08/16/2025
NARRATIVE
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Based on interviews and records review, allegation Staff mismanage resident's medication, R1's medication was not ordered in a timely manner where R1 missed the medication on May 1, 2025. Medication was administered May 2, 2025.

Based on the Departments interviews and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Refer to 9099D Civil Penalty was issued for repeat violation.

An exit interview was conducted and a copy of this report was provided with plan of corrections and appeal rights.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 24-AS-20250606105352
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: HALLMARK OF BAKERSFIELD
FACILITY NUMBER: 157209304
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/18/2025
Section Cited
CCR
87465(a)(4)
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87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:
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Plan of correction

Licensee agrees to conduct a medication training and will submit a date the training will occur and who is conducting the training by POC due date 08/18/25.
Civil Penalty was issued for repeat violation.
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(4) The licensee shall assist residents with self-administered medications as needed. This regulation was not met as evidenced by R1's medications were not administered timely on several dates. For ex. R1's medications were to be administered at 8 am on May6, 2025 and were not administered until 10:25 am. R1's medication was not ordered timely causing R1's to miss the medication on May1, 2025 which poses an immediate health safety and or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5