157206725-8-10-2023-24-AS-SPIY-CUXMCL-20230822092942

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157206725
Report Date: 08/10/2023
Date Signed: 08/10/2023 11:02:36 AM

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
08/07/2023 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20230807081147

FACILITY NAME:	HERITAGE LIVING II		FACILITY NUMBER:	157206725
ADMINISTRATOR:	KAUR, GURINDER		FACILITY TYPE:	740
ADDRESS:	6401 REDINGER ST		TELEPHONE:	(661) 664-9535
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	6	CENSUS: 5	DATE:	08/10/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Licensee Tina Melhi and Administrator Sharnpreet Grewal		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Resident was illegally evicted

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Shawna Doucette conducted a visit to commence a complaint investigation. LPA identified herself and discussed the purpose of the visit and the elements of the allegations with Licensee Tina Melhi and Administrator Sharnpreet Grewal.

LPA obtained document from primary doctor referring R1 to skilled nursing as of 7/19/23. LPA reviewed and obtained copies of R1's file. LPA obtained copies of R1's 30 day notice to facility to move, which is dated June 30, 2023. LPA obtained copies of conservator information. LPA conducted interviews with Staff and Kern Behavioral Rome Team Supervisor.
This agency has investigated the complaint alleging, Resident was illegally evicted We have found that the complaint was UNFOUNDED, which means the the allegation could not have happened, and/or is without reasonable basis, therefore we have dismissed the complaint.

A exit interview was conducted with Administrator Sharnpreet Grewal and a copy of this report was provided.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023

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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