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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209136
Report Date: 10/28/2024
Date Signed: 12/20/2024 07:58:55 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
08/26/2024 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20240826115957
FACILITY NAME:REDWOOD SENIOR LIVING BAKERSFIELDFACILITY NUMBER:
157209136
ADMINISTRATOR:PONCE, BEATRIZFACILITY TYPE:
740
ADDRESS:810 S UNION AVETELEPHONE:
(415) 810-0145
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:41CENSUS: 40DATE:
10/28/2024
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Licensee, Anthony BarbatoTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Regarding the allegation Facility staff did not provide resident medication as prescribed.
Regarding the allegation Facility staff did not safeguard resident’s belongings
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility to deliver findings on the allegations above. LPA met with facility Licensee, Anthony Barbato and explained the purpose of today's visit.

Regarding the allegation Facility staff did not provide resident medication as prescribed. Resident 1 is receiving medications as prescribed. Resident 1 stated they were hiding a medication in their bedroom. Staff discovered the medication and began giving to Resident 1 when they received the doctors orders including instructions from the Physician. 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.

Continued..
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
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-20240826115957
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: REDWOOD SENIOR LIVING BAKERSFIELD
FACILITY NUMBER: 157209136
VISIT DATE: 10/28/2024
NARRATIVE
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Continued...

Regarding the allegation Facility staff did not safeguard resident’s belongings. Resident 1 stated the facility staff assisted them with cleaning out their room as it was very cluttered. Resident 1 stated they noticed some items missing from the room shortly after the staff assisted with clean up. Licensee stated Resident 1's room Document Link Iconwas so cluttered it was a hazard, and he offered the staff to assist with cleaning out the room. Facility Licensee stated he is confident the facility staff only removed items agreed upon when cleaning out the clutter from Resident 1's room. 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.

Exit interview conducted with Licensee, Anthony Barbato, and a copy of this report provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2