Senior Care Records.

Complaint Investigation Report

Holden Way Home, Bakersfield09/11/2025Licence 157201351

Census6
Date signed09/11/2025 06:01:03 PM
The inspector’s account

157201351-9-11-2025-24-AS-AWAN-DLKQX4-20250916123256

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

08/27/2025 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20250827084339

Staff inappropriately speaks to residents

Licensing Program Analysts (LPA's) Shawna Doucette and Jimmy Duarte arrived at the facility unannounced to commence a complaint investigation and deliver findings. LPA's were granted entry by Staff LeeAnna Teague. LPA's met with Administrator Edward Romero and Cheryl McCraw.

LPA's reviewed records, interviewed staff and clients. LPA obtained copies of client IPP and staff file.

Based on interviews, it was determined the allegation Staff inappropriately speaks to residents occurred. Interviews conducted revealed staff was cursing while speaking to cleints. S1 was overheard by clients on S1's phone cursing and speaking inappropriately to an unknown person.

Based on interviews, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED

A copy of this report with appeal rights and plans of corrections were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction