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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157208773
Report Date: 03/19/2025
Date Signed: 03/19/2025 03:16:01 PM

Unsubstantiated


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
02/18/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250218101333
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: 75DATE:
03/19/2025
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Administrator Ramona ElecoTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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9
Staff not preventing resident from smoking inside facility while oxygen tank are in use by another other resident.
Staff does not prevent resident from disturbing another resident when sleeping.
Staff does not prevent resident from inappropriate behavior.
Staff does not prevent resident from inappropriately touching another resident.
INVESTIGATION FINDINGS:
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5
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Licensing Program Analysts (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation. LPA was granted entry into the facility by Staff Maria Vargas. LPA met with Administrator Ramona Elecon and explained the purpose of the visit.

Based on interviews and observation, R1 no longer resides in the facilty. Although R1 may have smoked in the facility, facility staff redirected R1 to not smoke in the facility. Facility staff worked with R1's case manager to find R1 a more suitable facility.

Based on interviews, R3 refused to speak to LPA to determine whether or not R1 was disturbing R3's sleep.

Based on records review, R2 engages in inappropriate behaviors. Based on interviews, it was reported to staff by R4 that R2 engaged in an inappropriate behavior. LPA was unable to locate another resident that observed the incident. Facility staff stated R4 was the only resident to report the incident.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
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 2
Control Number 24-AS-20250218101333
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: JASMIN TERRACE AT BAKERSFIELD
FACILITY NUMBER: 157208773
VISIT DATE: 03/19/2025
NARRATIVE
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Based on interviews, it was reported R2 was rubbing R5's arms. Based on interviews. R2 was redirected to not touch other residents. LPA was unable to interview R5 due to R5 having dementia.


Based on records review and interviews, it is undetermined whether or not the allegations 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.



A copy of this report was provided to Administrator.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2