Facility Evaluation Report

On 2/6/25, Licensing Program Analyst (LPA) J. Leffall conducted a case management visit to follow up and confirm details of an incident report that was received by the Department. The incident occurred on 1/22/25, in which Resident’s personal rights were violated during meal time at facility. An internal investigation was conducted and it was concluded that Staff (S1) and (S2) were adjusting resident’s meals.

Per LIC-624 the facility completed a termination of S1 and S2. The document with Plan of Correction (POC), Mandated Reporting protocol (AB-1417 (2023), Resident Rights in Assisted Living, and Managing Malnutrition and Dehydration forms were submitted to CCLD.

A citation is issued on the attached 809-D regarding client’s Personal Rights.