Administrator qualifications
Cited in 3 reports, with 3 deficiencies in total.
10000 COBBLESTONE AVE, Bakersfield CA 93311
6 bedsLatest official report May 13, 2026Licensed
The available records show 15 Type A and 22 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
Counts cover the five-year public record. Typical figures are the median for the 125 Kern County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 24 reports for this facility: 16 inspections, 7 complaint investigations, and 1 licensing or administrative record.
Those records contain 15 Type A and 22 Type B deficiencies.
6 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 5
1 in the last 12 months
Well above the typical 3
8 in the last 12 months
Well above the typical 1
3 in the last 12 months
Well above the typical 2
5 in the last 12 months
Most this size have none
0 in the last 12 months
Last 36 months
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 3 reports, with 3 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement has not been met: Based on interviews conducted and records reviewed, Licensee confirmed bed bug have been seen in the facility and no pest control service is in place for bed bug which poses a potential health, safety or personal rights risk to persons in care.
Licensee is to submit pest control service receipt confirmation of facility has pest control service completed. Licensee shall submit a receipt of confirmation of the facility being free from bed bugs and/or an ongoing pest control service for bed bug by POC due date 05/22/24.
Deadline recorded: May 22, 2024. A deadline is not proof that correction was completed.
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
HSC 1569.652 (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual... contractually responsible for the fees... within 15 days after the personal property is removed. This requirement was not met as evidenced by: Based on interviews conducted and record review, Resident 1 passed away on 10/02/22 and was not issued a refund for the remaining unused days to the resident’s responsible party. Licensee mailed the check late December 2022 early January 2023. The responsibility party have not received the check that was mailed. Responsible have not received a copy of the Admission Agreement as requested.This poses a potential health and safety risk to persons in care.
Licensee agreed provided a copy of the resident’s Admission Agreement and issue a check to R1's responsible party and provide a copy of the check and a copy of the post office mailing receipt to the Fresno CCL office by the POC due date. POC will clear when resident’s responsible party confirm record and money order has been received.
Deadline recorded: Apr 20, 2023. A deadline is not proof that correction was completed.
Allegations5 substantiated · 0 unsubstantiated · 0 unfounded · 7 cited · investigated over 3 visits
87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by LPA's request for resident records and Licensee was unable to provide the required documents in the LIC 311F.
Licensee completed resident files per the LIC 311F provided to L1 by LPA. L1 submitted proof to correction at the time of visit. **POC cleared**
Deadline recorded: May 6, 2022. A deadline is not proof that correction was completed.
87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:(4) Written verification that the employee is at least 18 years of age, including, but not necessarily limited to, a copy of his/her birth certificate or driver's license. This requirement was not met as evidenced by LPA's request for resident records and Licensee was unable to provide the required documents in the LIC 311F.
Licensee completed staff files per the LIC 311F provided to L1 by LPA. L1 submitted proof to correction at the time of visit. **POC cleared**
Deadline recorded: May 6, 2022. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on May 6, 2022 · Control 24-AS-20220110135143
87506(a) Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This requirement was not met as evidenced by LPA observation of resident records. Required LIC forms are in the file, however, they are not completed in their entirety.
Licensee will review all resident files and ensure all LIC forms are completed in their entirety, including . " Not appplicable " (N/A) may be used on the form for areas that are not applicable.
Deadline recorded: May 20, 2022. A deadline is not proof that correction was completed.
(g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review.THis requirement was not met as evidenced by LPAs' observation at the time the complaint was opened, staff records were not complete and available.
Licensee will ensure all personnel records are complete and up to date at all times. 2 out of the 3 staff no longer work at the facility. LPA observed staff files to have the required LIC forms. Health screeening for Staff S1 has been addressed in the annual insepction with a POC date of 06/06/22. **POC cleared**
Deadline recorded: May 20, 2022. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on May 6, 2022 · Control 24-AS-20220110135143
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidenced by Resident R1's LIC 602 and review of facility file in Regional Office. *Civil Penalty Assessed*
Licensee will complete and submit the LIC 200 to include Resident R1's bedridden status per LIC602. Licensee will submit a copy of the facility sketch (LIC999) to LPA by POC date.
Deadline recorded: Jan 11, 2022. A deadline is not proof that correction was completed.
87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or which poses an immediate health, safety and personal rights risk to residents in care. This requirement was not met as evidenced by Facility Roster in the Guardian system. *Civil Penalty Assessed*
Licensee will call the Regional Office to verify Fingerprint transfer for staff are completed and all staff are associated to the facility by POC due date.
Deadline recorded: Jan 11, 2022. A deadline is not proof that correction was completed.
87468 Personal Rights (c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public.This requirement was not met as evidenced by: Licensee did not have personal rights posted in the facility which poses a potential health, safety and personal rights risk to residents in care.
Plan of Correction POC Licensee agrees to post personal rights LIC 613C2 by POC due date.
Deadline recorded: Jan 21, 2022. A deadline is not proof that correction was completed.
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by interviews and observation of videos taken of Resident on the ground after sliding out of bed. Resident R1 was on the ground for up to 10 hours. Licensee does not have written consent to video Resident.
Licensee will obtain personal rights written consent from Resident to record video of Resident's behaviors.
Deadline recorded: Jan 11, 2022. A deadline is not proof that correction was completed.
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
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