Senior Care Records.

Facility Evaluation Report

Crow Canyon Residential Care IV, Pittsburg07/06/2022Licence 079200030

Capacity6
Census5
Date signed07/06/2022 05:05:08 PM
The inspector’s account

On 07/06/22, LPA D Panlilio conducted a subsequent visit to amend the complaint report dated 04/28/22. LPA explained the purpose of the visit with administrator.

This is in reference to COMPLAINT CONTROL NUMBER: 15-AS-20211228104311 .

The allegation was that client sustained multiple pressure injuries while in care at the facility. Upon further review of information gathered during investigation, the complaint investigation finding was amended from unsubstantiated to substantiated.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties .

Exit interview conducted. Appeal Rights and a copy of this report provided via email.

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