Senior Care Records.

Facility Evaluation Report

Kern Village Assisted Living for Seniors, Kernville06/11/2024Licence 157209373

Capacity22
Census20
Date signed06/12/2024 09:11:00 AM
The inspector’s account

On 06/11/24, Licensing Program Analyst (LPA) M. Yang arrived to conduct an unannounced initial complaint investigation and met with Administrator Kala Gibson. LPA conducted case management-deficiency visit with Administrator.

During the course of the investigation, LPA toured the facility with Administrator. LPA observed bathroom door missing in shared bedroom.

A Deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit interview conducted. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report.

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