Senior Care Records.

Complaint Investigation Report

Kern Village Assisted Living for Seniors, Kernville08/15/2024Licence 157209373

Census20
Date signed08/15/2024 09:21:32 AM
The inspector’s account

157209373-8-15-2024-24-AS-SMOA-D8HMCH-20240826092933

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

05/03/2024 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20240503095428

Staff did not comply with basic service requirements

On 0815/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on

the above allegation. LPA introduce self, stated the purpose of the visit, and met with Facility Manager Ashley Bell. Staff and LPA attempted to reach Licensee Anthony Barbato. Administrator Kala Gibson was called via telephone. LPA delivered findings to Administrator via telephone and Facility Manager.

During the course of the investigation, LPA conducted interviews. A food bank organization was contacted and provided information to the residents at the facility. No resident had signed up and received any food assistances form the program. Therefore, based on the interviews conducted, the preponderance of evidence standard has not been met, the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted via telephone with Administrator and Facility Manager. A copy of this report was provided to the Facility Manager, whose signature on this report confirms receipt of this report.

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