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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208773
Report Date: 08/17/2021
Date Signed: 08/17/2021 11:46:59 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
08/03/2021 and conducted by Evaluator Lady Cabrera
COMPLAINT CONTROL NUMBER: 24-AS-20210803084904
FACILITY NAME:JASMIN TERRACE AT BAKERSFIELDFACILITY NUMBER:
157208773
ADMINISTRATOR:ELECO, RAMONA D.FACILITY TYPE:
740
ADDRESS:5400 STINE ROADTELEPHONE:
(661) 398-8802
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:99CENSUS: 81DATE:
08/17/2021
UNANNOUNCEDTIME BEGAN:
11:33 AM
MET WITH:Ramona Eleco, AdministratorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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9
Facility staff is mismanaging resident's money
Facility staff is chemically restraining resident
Facility staff is not ensuring residents have access to an adequate amount of liquids
Facility staff are not properly supervising residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Lady Cabrera conducted the complaint investigation visit to the facility.
During the course of this investigation LPA interview staff and reviewed facility records relevant to the complaint investigation. There is no preponderance of evidence to prove the violations (Facility staff is mismanaging resident's money, Facility staff is chemically restraining resident, Facility staff is not ensuring residents have access to an adequate amount of liquids, Facility staff are not properly supervising residents) occurred as alleged by the complainant.

This agency has investigated the complaint alleging the above violations. We have found that the complaint was unfounded, therefore we have dismissed the complaint.

Administrator was provided with the LIC9099. Exit interview conducted.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
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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