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Home My WebLink AboutBUSINESS PLAN (3)~• ~~ ~, _ _ ~~'~~~~R', ~~ EMMANUEL CONVALESCENT PARKVIE~ E l ;, 329 REAL RD _ _ _.. ~~~ b~ J ~. .~ ~, '~ .__._._~ ~`~Y~I °,~ + EMMANUEL CONVALESCENT PARKVIEW ______________________ SiteID: 015-021-000804 + Manager Location: 329 REAL RD City BAKERSFIELD BusPhone: (661) 327-7107 Map 102 CommHaz High Grid: 35D FacUnits: 1 AOV: CommCode: BFD STA 03 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title LYNN GANN / ADMINISTRATOR FLOR AMAZONA / DIR OF NURSING Business Phone: (661) 327-7107x Business Phone: (661) 327-7107x27 24-Hour Phone (661) 392-9003x 24-Hour Phone (661) 664-8527x Pager Phone (661) 619-9192x Pager Phone (661) 205-2970x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 327-7107x MailAddr: 329 REAL RD State: CA City BAKERSFIELD Zip 93309 Owner SNF PROPERTIES Phone: (800) 956-9609x Address 1111 W ROBINHOOD DR W State: CA City STOCKTON Zip 95207 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG C - COMM HOOD 8asad on my inquiry of those individuals responsible tar obtain-ng the information, I certify under penalty of femi iaratNithahe p format n examined and am a submitt®d and faeiiie a the information is true, accurate, and comp ~°'~~ Date Sign ~ ~~~,~~ :~~an 3~~~t4~ 2 ~~3 ~~~ Q~ ~ ENT A p R 14 2006 t______________________________________________________________________________+ -1- 03/22/2006- ~ EMMANUEL CONVALESCENT PARKVIEW '~-~~ 1 {~' 329 N. REAL RD. BAKERSFIELD CA 93309 . ~'~ FLOOR PLAN ~' MAINT. . SHOP EXIT L -FIRE SPRINKLER TEST VALVE EXIT CEN. ~ 0 ACT. D 43 ~ SUP. EMERGENCY MAIN ELECTRIC OFF. 60 I GENERATOR SHUT OFF S 42 44 LAUNDRY 59 61 A + S 41 EXIT 62 T KITCHEN THER. ROOM E 40 45 46 47 48 49 + F/M 55 56 57 58 63 R 39 + 64 P Pd B W B -WING MDS C W A 38 STN DINING ROOM OFF. 50 51 52 53 54 STN + 65 ~ R + K 37 36 12 11 74 66 I B -WING PATIO N 34 35 14 10 A -WING PATI O 73 67 G + 32 33 SMOKING AREA 15 9 72 68 L O ~ 30 31 16 8 71 69 T SHWR DON + A W DSD A -WING MED. BEAUTY SHWR 29 ROOM 21 20 19 18 17 @ < STN OFFIC DINING ROOM REC. SHOP ROOM 70 EX ® + + ~' EMERG. ° BUS i FOOD & a 28 27 26 25 24 23 22 MAIN OFF. 7 6 5 4 3 2 1 PAPER ! MAIN ELECTRIC SHUT OFF 0 SOC. LOBBY ADM a FIRE SPRINKLER TEST DRAIN SUPPLY d EMERGENCY GENERATOR SERV. OFF 4 <__> MAIN FIRE SPRINKLER VALVE ADMIN. b MAIN GAS SHUT OFF MAIN ENTRANCE + FIRE EXTINGUISHERS OFFICE ~ FIRE ALARM BOX L FIRE SPRINKLER TEST VALVE EMERG, L] MAIN WATER SHUT OFF <__> < FIRE ALARM SHUT OFF H2O SUP. OFFICE IDENTIFIED ARE LOCKED. KEYS ARE KEPT IN A-WING F FEMALE BATHROOM MED ROOM ON A LARGE KEY RING M MALE BATHROOM .~ "`'. 7 J I ~'~' 5 EMMANUEL CONVALESCENT PARKVIEW SiteID:~015-021-000804 Manager l.yN~v GRN~ Location: 329 REAL RD City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: (661) 327-7107 Map 102 CommHaz Extreme Grid: 35D FacUnits: 1 AOV: SIC Code:. DunnBrad: Emergency Contact / Title Emergency Contact / Title LYNN GANN / ADMINISTRATOR VINCENT SAENZ / MAINT SUPR Business Phone: (661) 327-7107x Business Phone: (661) 327-7107x 24-Hour Phone (661) 392-9003x 24-Hour Phone (661) 633-2952x Pager Phone (661) 619-9192x Pager Phone (661) 747-7031x Hazmat Hazards: Fire Press ImmHlth Contact LYNN GANN Phone: (661) 327-7107x MailAddr: 329 REAL RD State: CA City BAKERSFIELD Zip 93309 Owner SNF PROP ES hone: E Address 1111 INHOOD DR W ~ Q 80 ~ State: ~ CA City S K ~~, ip ~4.,~ JC'~ Period to TotalASTs P ~ _ ~ Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD E3ased on my inquiry of those individuals res onsible for obt inin th i f ti I tif EN1°'D F~® 2 ~ ~'8~~ p g a e n orma cer on, y under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Sign a ~~ Date -~ -1- 01/30/2007 F EMMANUEL CONVALESCENT PARKVIEW SiteID: 015-021-000804 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE OXYGEN E F P F P IH IH G G 1820.00 3500.00 FT3 FT3 Hi Low -2- olj3oj2oo~ -3- 01/30/2007 F EMMANUEL CONVALESCENT PARKVIEW SiteID: 015-021-000804 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: BACK-UP GENERATOR CAS# 74-98-6 ~GaSATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE TPure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1820.00 FT3 1820.00 FT3 1820.00 FT3 r1c~~r~tcLUU~ ~ulnrvlvl;lvl~ ~Wt. RS CAS# 100.00 Propane Yes 74986 1'11~GH2CL 1~.7.7~JJ1~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit A WING 02 CLOSET B WING 02 CLOSET ~GasATE T TYPE PRESSURE I Pure Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest ContainerFT3 Daily3500100m FT3 I Daily1800r00e FT3 rui~tircLVU~ ~.ul~iruivr,lvt~ oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 I1tiGEiKL Hw 7.7L" .7~J1~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 01/30/2007 F EMMANUEL CONVALESCENT PARKVIEW SitelD: 015-021-000804 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/14/2006 ~ CALL 911. CALL DEPARTMENT OF HEALTH SERVICES AND OSHPOD. KNIGHT GUARD SYSTEMS HAS AN ALARM THAT TIES INTO THE HOSPITAL. oSNP~ Employee Notif./Evacuation 12/01/1999 PA SYSTEM. Public Notif./Evacuation PA SYSTEM. 12/01/1999 Emergency Medical Plan 04/14/2006 MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371; SAN JOAQUIN, 2615 EYE ST, 327-1711; MEMORIAL, 420 34TH ST, 327-1792; OR KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -5- 01/30/2007 n F EMMANUEL CONVALESCENT PARKVIEW SiteID: 015-021-000804 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 11/07/2006 OXYGEN TANKS CHAINED TO WALL, PRESSURE GAUGES, VALVES ON OFF POSITION WHEN NOT IN USE. IN-SERVICE GIVEN BY OXYGEN PROVIDER AND DIRECTOR OF STAFF DEVELOPMENT. FIRE DOORS CLOSE WHEN DETECTORS RELEASE. IN-SERVICE BY WEBB FIRE PROTECTION SERVICES INCLUDES DISASTER PREPAREDNESS. ALL CLEANING SUPPLIES KEPT IN HOUSEKEEPING/LAUNDRY AND KITCHEN STORAGE ON SEPARATE SHELVES SO SPILLS WILL NOT MIX. FIRE AND DISASTER DRILLS. Release Containment 1..1 CQ11 lJ~l v~.iic1 nc~vu.i~..c Y11~1~1VQ1.1V11 -6- 01/30/2007 ,. F EMMANUEL CONVALESCENT PARKVIEW SiteID: 015-021-000804 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 11/07/2006 A) GAS - PATIO SE CRNR BY RM 28 WRENCH-CHAINED TO PIPE B) ELECTRICAL - BOILER ROOM C) WATER - PATIO OUTSIDE RM 22 HAND WHEEL D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/30/2007 PRIVATE FIRE PROTECTION - EVACUATION ROUTES POSTED THROUGHOUT FACILITY. CODE TRIAGE PAGED OVER INTERCOM FOR EMERGENCY. WILL CALL 911. HOOKED UP TO ALARM SYSTEM AT KNIGHT GUARD. FIRE HYDRANT - ACROSS REAL RD NE CRNR OF BLDG. Building Occupancy Level 160 EMPLOYEES 03/22/2006 -7- 01/30/2007 F EMMANUEL CONVALESCENT PARKVIEW SiteID: 015-021-000804 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/07/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: IN-SERVICE GIVEN BY SUPPLIERS. FIRE AND DISASTER POLICY & PROCEDURE BOOK .ALWAYS AVAILABLE TO STAFF. ruyc ~ Held for Future Use nciu 1.t~L r u~uic u~c -8- 01/30/2007 UNIFIED PROGRi4(VI INSPECTION CHECKLIST ~...,.. u~~'a'..~'+.'T ,w. .,, .: ~._LL:I L 'Ate.' -' .e~.,. rR `. v; ..~, -71 ':,,_ y:?3.`S ~' f _. _..-- SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services art a fi~R~ 900 Truxtun Ave., Suite 210 parr r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECT N D ~~ INS TION T ~ ~~ ~~ r/ ADDRESS HON NO. O OF E PLOYEES ~~ FACILITYCONT CT SINESS ID BER 15-021-® ~ ~ -- Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance} OPERATION V=Violation COMMENTS __ _ ___ _ _ ^ APPROPRIATE PERMIT ON HAND ^ BUSIftt?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS C~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ,~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEOUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZA D U WAST~E[ONp~S,I~TfE/~ ~~~~~j^ YES ^ NO EXPLAIN: ~`f r wt/`_____ ~L//Y.1 ~~ 63-a9~~- • QU TIONS REGARDING THIS INSP CTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Pre ention / 1°' In /Shift of Site/Station # B iness School Site Res sib e a y (Please Print) ~n White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) 7eanni Loven - ES & bankruptcy From: Drew Sharpies To: Jeanni Loven Date: 5/9/2007 2:16 PM Subject: ES & bankruptcy 3124-ES Emmanuel Convalescent Parkview BK case #LA 07-12312-EC, Chapter 7 filed 3/22/07. Delete auto charge, balance to go to write-off. Open new account starting with the 07-08 fiscal year. Billing name and info is still the same. f ~~ ~ ~ J \ (l~ ~ ~~ o~~ ~ ~~ ~~ ~ ~ o~~ ~~ ~~ ~ ~ ~ ~~ ~~ . a~ ~ ~l~°~ ~~ ~~ ENT'D ~ AY 0 9 2007