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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209136
Report Date: 02/22/2022
Date Signed: 03/03/2022 03:56:06 PM

Unsubstantiated


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
01/31/2022 and conducted by Evaluator Kamaldeep Kaur
COMPLAINT CONTROL NUMBER: 24-AS-20220131155034
FACILITY NAME:REDWOOD SENIOR LIVING BAKERSFIELDFACILITY NUMBER:
157209136
ADMINISTRATOR:ESPINAL, KENNYFACILITY TYPE:
740
ADDRESS:810 S UNION AVETELEPHONE:
(415) 810-0145
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:41CENSUS: 37DATE:
02/22/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Licensee Representative Anthony Barbato TIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
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5
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8
9
Staff is not providing adequate care to resident.
Staff is not providing hygiene care to resident.
Staff is not providing dental care to resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
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13
Licensing Program Analyst (LPA) K. Kaur and LPM S. Moua arrived at the facility unannounced to conduct follow up inspection. Upon entry, temperature check was completed by Med Tech Barbara Martin.

LPA and LPM discussed the purpose of the visit and the elements of the allegations. LPM & LPA interviewed Staff, residents. Reviewed records and toured the facility.

Based on interviews conducted the resident as on Hospice and receiving hygiene care two to three times a week. Facility staff deny that hygiene and dental care were not provided.

LPA did not discover any specific incidents related to the allegations. Based on the interviews conducted and records review the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.Exit interview was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda White
LICENSING EVALUATOR NAME: Kamaldeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022
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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