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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157204131
Report Date: 08/06/2025
Date Signed: 08/06/2025 01:18:01 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 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 Mai Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250606095355
FACILITY NAME:RIVERSTONE TERRACE SENIOR LIVING MEMORY CAREFACILITY NUMBER:
157204131
ADMINISTRATOR:RICE, DOUGLAS G.FACILITY TYPE:
740
ADDRESS:3115 BROOKSIDE DRTELEPHONE:
(661) 862-9777
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:40CENSUS: 27DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Douglas Rice, AdministratorTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not properly supervise resident, resulting in resident sustaining a fracture
Staff do not assist resident with personal care
Staff do not ensure that residents' dietary needs are met
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/06/25 Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings.
LPA introduced self, stated the purpose of the visit, and met with Administrator Douglas Rice.

During the course of the investigation, the Department conducted interviews, records were reviewed and toured the facility. Water and food are provided for R1. Staff assist in feeding R1 during mealtimes. Adequate staffing was observed and provided at the facility providing care for residents.

Based on interviews conducted, records reviewed and observation, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided to the caregiver, whose signature confirms received of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
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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