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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209304
Report Date: 03/27/2025
Date Signed: 03/27/2025 04:41:00 PM

Substantiated


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
03/21/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250321154050
FACILITY NAME:HALLMARK OF BAKERSFIELDFACILITY NUMBER:
157209304
ADMINISTRATOR:CANDELAS, ASHLEY L.FACILITY TYPE:
740
ADDRESS:2001 AKERS ROADTELEPHONE:
(661) 834-0200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:99CENSUS: 62DATE:
03/27/2025
UNANNOUNCEDTIME BEGAN:
02:58 PM
MET WITH:Administrator Ashley Candelas and Staff Stephanie VillanuevaTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Resident eloped from the facility due to lack of care or supervision from staff
Staff did not give resident medication as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation. LPA identified herself and explained the purpose of the visit with Administrator Ashley Candelas.

LPA interviewed staff. LPA requested a copy of R1's file, MARS log and doctors order.

Based on interviews and records review conducted, on 3/1/25 R1 was found down the street from the facility by Bakersfield Police Department patrolling the area. Bakersfield Police Department contacted ambulance due to R1 having a fall. R1was transported by ambulance to the hospital arriving at 11:03 PM. Interviews concluded staff did not check on R1 from 10 PM to 5:30 AM. Facility staff realized R1 was missing on 3/2/25 at 5:30 AM. Facility staff called 911 and contacted local hospitals, where R1 was located at the hospital.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
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 4
Control Number 24-AS-20250321154050
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: HALLMARK OF BAKERSFIELD
FACILITY NUMBER: 157209304
VISIT DATE: 03/27/2025
NARRATIVE
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Based on the Departments interviews and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Article 8, is being cited on the attached LIC 9099D. Civil Penalties were issued.

An exit interview was conducted and a copy of this report was provided with plan of corrections and appeal rights.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 24-AS-20250321154050
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: HALLMARK OF BAKERSFIELD
FACILITY NUMBER: 157209304
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/28/2025
Section Cited
CCR
87464(f)(1)
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87464 Basic Services (f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as
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Licensee installed additional alarms on the doors and have staff wear pagers from 10 pm to 8 am which pagers alert staff when any facility door opens. POC cleared during visit. LPA observed additional alarms and Administrator demonstrated how pagers work. Civil Penalties were issued.
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evidenced by: Licensee did not ensure care and supervision for R1 who eloped from the facility on 3/1/25, which resulted in hospitalization which poses an immediate health safety and or personal rights risk.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
03/21/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20250321154050

FACILITY NAME:HALLMARK OF BAKERSFIELDFACILITY NUMBER:
157209304
ADMINISTRATOR:CANDELAS, ASHLEY L.FACILITY TYPE:
740
ADDRESS:2001 AKERS ROADTELEPHONE:
(661) 834-0200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:99CENSUS: 62DATE:
03/27/2025
UNANNOUNCEDTIME BEGAN:
02:58 PM
MET WITH:Administrator Ashley Candelas and Staff Stephanie VillanuevaTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not give resident medication as prescribed
INVESTIGATION FINDINGS:
1
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3
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5
6
7
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13
Licensing Program Analysts (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation. LPA identified herself and explained the purpose of the visit with Administrator Ashley Candelas.

LPA reviewed medication records and interviewed staff. Based on records review and interviews, doctor orders discontinued R1's Lorazapam on 1/20/25 and doctor orders restarted the medication on 1/24/25. LPA obtained copies of doctors orders.

This agency has investigated the complaint alleging, Staff did not give resident medication as prescribed We have found that the complaint was UNFOUNDED, could not have happened, and/or is without a reasonable basis, therefore we have dismissed the complaint.

An exit interview was conducted and a copy of this report was provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4