Senior Care Records.

Facility Evaluation Report

Delta Shores Assisted Living, Antioch07/03/2025Licence 079201249

Capacity90
Census59
Date signed07/03/2025 04:05:29 PM
Name of licensing program analystDaisy Panlilio
Name of licensing program managerBennett Fong
The inspector’s account

On 07/03/25 while at the facility for another reason, LPA D Panlilio conducted an unannounced case management visit and met with executive director (ED).

LPA explained the purpose of the visit with ED.

At 3:50PM, LPA discussed the self reported SOC341 with ED dated 06/30/25 where resident (R2) refused to take her routine medications because her PRN pain medication was not given at the same time by Med Tech (S4). Staff denied punching R2 in the face with a closed fist.

Police was called twice and observed no visible injuries on R2's face. ED suspended S4 for 2 days and she returned back to work on 07/01/25 since internal investigation showed S4 did not punch R2 in the face with a closed fist. Other staff witnessed R2 throwing water and yelling at S4 during the incident.

During visit, LPA checked on R2 and observed no visible injuries on her face. LPA observed R2 to be in good spirits and comfortable in her surroundings.

No deficiencies cited. Exit interview conducted and a copy of this report provided.

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