Facility Evaluation Report

On 02/15/2023 at 3:35 PM, Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct a case management visit due to incident report received on 02/13/2023, C1 sustained left foot fracture. LPA met with Administrator, Tasha Woods. LPA explained the purpose of the visit.

Based on records review and interview, on the morning of 2/11/2023, C1 went out to play basketball, at around 9:00PM C1 reported to staff that he twisted his ankle while playing basketball, staff place an ice pack on the affected foot of C1. On 2/11/2023 at around 11:00PM, staff iced C1’s left ankle and wrapped it with bandage. On 2/12/2023 at around 1:00AM, C1 verbalized of pain on the affected side, records review revealed that staff placed a packed of ice on C1’s ankle although staff already observed that C1’s ankle was swollen. On 02/13/2023 at around 9:00AM, C1 asked Administrator to take him to Emergency room for his ankle. On the same day C1 was diagnosed with close fracture of the malleolus.

Based on LPA’s observation during the visit, C1 have a cast on his left foot. Based on interview with C1, he is okay with a little bit of pain and staff are assisting him about his case.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties.

A $500.00 immediate civil penalty was assessed during the visit.

Exit interview conducted with Tasha Woods. A copy of this report and appeal rights was provided.