Redwood Senior Living Bakersfield

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 Staff does not ensure medications are properly managed for resident in care. Resident 1 is receiving medications as prescribed. Resident 1 stated they were hiding a medication in their bedroom. Staff discovered the hidden 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. UnsubstantiatedRead the full finding— CDSS inspection report, October 28, 2024 · control 24-AS-20240828153738

On October 24, 2024, Licensing Program Analyst (LPA) Rachel Bruce arrived at Redwood Senior Living Bakersfield for the purpose of delivering findings on the above allegations. During the course of this investigation LPA L. Padgett began by reviewing facility files relevant to the complaint investigation and interviewing both staff and residents. The file was transferred to LPA Bruce in October, 2024 and LPA Bruce reviewed the acquired documentation, toured the facility and conducted one staff interview. Based on the investigation in total, it has been determined that the above allegations are UNFOUNDED. 1) Staff do not provide adquate food service is referring to residents who signed up for the food bank senior box to be delivered. Investigation revealed this was totally optional and was in addition to the food already provided. 2) Staff do not prevent residents from fighting. Interviews revealed that Residents can and sometimes do exhibit behavior that requires intervention which stafRead the full finding— CDSS inspection report, October 24, 2024 · control 24-AS-20240505222013

Licensing Program Analyst (LPA) Lissett Padgett conducted the subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA interviewed staff on duty and reviewed facility records. It was determined based on the interviews and records review and this LPA's observations, that the above allegation is SUBSTANTIATED. Staff were using personal communication devices to communicate resident medical information, which included pictures and text. Based on LPAs observations, interviews conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.”) SubstantiatedRead the full finding— CDSS inspection report, April 18, 2024 · control 24-AS-20240305201709

LPA toured the facility with AD and did not observe live cockroaches or other pests. AD provided LPA with pest control invoices that show this facility has Pest Control services once a month. LPA interviewed staff and AD regarding procedures used during recent COVID outbreak. AD was also in communication with Kern DPH during the outbreak for guidance. Based on interviews with staff, LPA found them to be in compliance with current COVID guidance. Unfounded— CDSS inspection report, February 1, 2024 · control 24-AS-20240123143251

LPA toured the facility with AD and observed a thick layer of unknown white powder in 4 resident bedrooms and under the kitchen stove. LPA interviewed staff and residents. Though there is discrepancy on what the purpose of the powder is for. Powder is accessible to residents in care. Plan of Correction: LIcensee will remove powder from resdient rooms by POC date and will discontinue its use in this faclity going forward. Licensee will provide written statement on how Licensee will comply with this regulation. Substantiated— CDSS inspection report, February 1, 2024 · control 24-AS-20240123143251

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit. LPA was allowed entry by staff. LPA met with Administrator Beatriz Ponce and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings. The Department investigated the allegations listed above. Based on interviews conducted and records reviewed the resident (R1) wanted to leave and no longer wanted to reside at the facility. Facility representative took resident to a shelter who signed a statement indicating intent to leave. Based on observation and interview of staff and residents, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, December 5, 2023 · control 24-AS-20230828121121

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit and conducted interviews and reviewed records. LPA met with Administrator Beatriz Ponce and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings. The Department investigated the allegations listed above. Administrator and staff were interviewed and did not witness any incident that would indicate staff was not assisting resident with care needs or staff was rude to resident and did not treat resident with respect. Based on interviews conducted with resident; incidents did occur but were not reported to management. Based on observation and interview of staff and residents, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiatRead the full finding— CDSS inspection report, July 19, 2023 · control 24-AS-20230414115426

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit and conducted interviews and reviewed records. LPA met with Administrator Beatriz Ponce and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings. The Department investigated the allegations listed above. Administrator, staff and residents were interviewed and denied that drugs were used at the facility. Observation reveled some residents room did contain odor of drugs and interviews reveled resident’s family members complained of odor of drugs coming from resident rooms. Based on observation and interview of staff and residents, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, December 30, 2022 · control 24-AS-20220920083013

Licensing Program Analyst (LPA) K. Kaur conducted a subsequent complaint inspection to deliver findings. LPA met with Administrator Beatriz Ponce. Findings were delivered. The Department conducted interviews and reviewed records. Based on interviews conducted and records reviewed, the facility failed to prevent R1 from engaging in non-consensual sexual relations with other residents. The preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. An Immediate Civil Penalty of $500 is assessed. The issuance of additional civil penalties is pending and currently under review. The details of additional civil penalties will be outlined in a future report to the facility, if any. Exit Interview conducted. Appeal Rights provided. SubstantiatedRead the full finding— CDSS inspection report, December 30, 2022 · control 24-AS-20220822090153

On 11/10/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct a complaint inspection and deliver complaint finding on the above allegation. LPA introduced self, stated the purpose of the visit and met with Administrator Beatriz Ponce and Anthony Barbato, Licensee. During the course of the investigation, the Department conducted interviews and toured the facility. Based on observation and interviews that were conducted, there was insufficient evidence to prove or disprove that stray animals were in area where resident sleeps. The preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. Exit interview was conducted. A copy of this report was provided to the Licensee. UnsubstantiatedRead the full finding— CDSS inspection report, November 10, 2022 · control 24-AS-20221102153211

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Beatrice Ponce, Administrator and Licensee, Anthony Barbato and informed them the purpose of the visit. During the course of this investigation LPA reviewed facility files and interviewed persons relevant to the complaint investigation. It was determined that the above allegation: Facility pressured resident's representative to place resident on hospice is UNFOUNDED. Resident R1's hospice documents were developed and signed between family/POA and medical personnel. This agency has investigated the complaint alleging (Facility pressured resident's representative to place resident on hospice). We have found that the complaint was unfounded, therefore we have dismissed the complaint. UnfoundedRead the full finding— CDSS inspection report, September 22, 2022 · control 24-AS-20211018084025

On 8/11/22 at 9:31 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannoucned to conduct a complaint investigation. LPA was greeted by staff and granted entry. LPA met with Licensee (LIC) Anthony Barbato and explained reason for inspection. LPA reviewed records and conducted interviews. R1 no longer resides in the facility and was not interviewed. LIC admitted having physical contact with R1, such as hugs and held R1's hands, but denies it was in a sexual or initimate nature. LIC stated the physical contact was made after R1 requested it and rarey occurred. LIC stated the physical contact was not different from the way LIC physically interacted with any other resident. Therefore, the above allegation is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted. A copy of this report was given to Licensee Anthony Barbato, whose signature confirms receipt oRead the full finding— CDSS inspection report, August 11, 2022 · control 24-AS-20220610083618

Licensing Program Analyst (LPA) K.Kaur conducted an unannounced complaint visit. LPA K. Kaur met with Staff/Medtech Barbara Martin and discussed the purpose of the visit. In regard to the allegation Unlawful eviction, LPA K. Kaur interviewed staff and reviewed documents. Resident (R1) could not afford to pay monthly rent due to loss of supplemental income from Kern Medical Center therefor other residence was sought and with the agreement of (R1’s) family; resident moved on her own accord. This agency has investigated the complaint alleging Unlawful eviction. We have found that the complaint was UNFOUNDED, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis, therefore we have dismissed the complaint. Exit interview conducted. A copy of this report was discussed and provided to Staff/Medtech Barbara Martin, whose signature on this form confirms receipt of this document. UnfoundedRead the full finding— CDSS inspection report, July 21, 2022 · control 24-AS-20220422114140

Licensing Program Analyst (LPA) K.Kaur conducted an unannounced complaint visit to deliver findings. LPA K. Kaur met with Staff/Medtech Barbara Martin and discussed the purpose of the visit. In regard to the allegation Facility staff hit resident with broom stick, LPA K. Kaur interviewed residents, staff and, reviewed documents. LPA was unable to determine if the accusation occurred after investigation. Although the allegations Facility staff hit resident with broom stick may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted. A copy of this report was discussed and provided to Medtech Barbara Martin, whose signature on this form confirms receipt of this document. UnsubstantiatedRead the full finding— CDSS inspection report, July 21, 2022 · control 24-AS-20220504083259

Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced to deliver findings. Upon entry, temperature check was completed by Med Tech Barbara Martin. LPA identified self and asked to speak with Licensee Representative Anthony Barbato. Licensee was contacted via phone by Mrs. Martin. LPA discussed the purpose of the visit and the elements of the allegations. Based on observations, conversations with residents, and records reviewed, the residents are ambulatory and/or can self-transfer. The residents can also communicate their needs to staff. It was determined that the above allegations: Facility accepted residents who was beyond the level of care that facility could provide is UNFOUNDED. UnfoundedRead the full finding— CDSS inspection report, March 24, 2022 · control 24-AS-20220217145400

On 3/17/22 at 9:35 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a complaint investigation and deliver findings. LPA entered the facility and met with staff. Licensee arrived a short time later. During the course of the investigation, LPA made observations, and conducted interviews and records review. Based on the observations, interviews, and records review, LPA found that R1 did not have a change in condition after POA was obtained; R1 admitted denial of physical activity when offered and staff advised R1 would frequently asked to be taken back to bed when R1 was up and about in wheelchair or preferred to be left in bedroom; and although LPA observed flies present in the facility and facility did not obtain pest control to address issue of flies present in the facility, Licensee advised steps were taken to mitigate the flies by ensuring door latches were operating appropriately and window screens were intact, using fly strips in facility, taking trashRead the full finding— CDSS inspection report, March 17, 2022 · control 24-AS-20210917124853

Licensing Program Analyst (LPA) K. Kaur and LPM S. Moua arrived at the facility unannounced to conduct an initial 10-day complaint 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. During the tour LPA & LPM observed an adequate supply of food. Frozen meats and non-perishable and fresh fruits and vegetables were observed. Lunch was also being served LPA & LPM observed fish, salad, rice, bread, and cake on the menu. Based on interviews conducted with staff the facility residents did have head lice however proper protocols were followed to eradicate the issue. Over the counter treatment was first administered and then followed by clinical treatment. The facility has no current cases of head lice at the moment. Therefor the above allegations are UNFOUNDED. UnfoundedRead the full finding— CDSS inspection report, February 22, 2022 · control 24-AS-20220217151731

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. UnsubstantiatedRead the full finding— CDSS inspection report, February 22, 2022 · control 24-AS-20220131155034

Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced to conduct an initial 10-day complaint inspection. Upon entry, temperature check was completed by Med Tech Barbara Martin. LPA identified herself and asked to speak with Licensee Anthony Barbato. Licensee was contacted via phone by Mrs. Martin. LPA discussed the purpose of the visit and the elements of the allegations. LPA interviewed Staff, residents. Reviewed records and toured the facility. Based on observation; heat was operational at the facility. Records review and staff interview determined RP came to the facility and signed the admission paperwork in her own accordance. It was determined that the above allegations: There was no heat at the facility and RP was pressured to sign paperwork are UNFOUNDED. UnfoundedRead the full finding— CDSS inspection report, February 10, 2022 · control 24-AS-20220131155034