Senior Care Records.

Facility Evaluation Report

Kingston Bay Senior Living, Fresno12/08/2021Licence 107206939

Capacity128
Census83
Date signed12/10/2021 03:19:43 PM
The inspector’s account

Licensing Program Analyst (LPA) Katie Brown arrived unannounced at the facility to conduct a Case Management visit. LPA met with and explained the purpose of the visit with Administrator (AD) Paige Williamson.

The purpose of the Case Management visit is to follow up on a Special Incident Report (SIR) and SOC 341 submitted to CCLD by the facility on 10/4/21. The incident occurred on 10/3/2021 resulting in an alleged physical altercation between R1 and R2.

LPA reviewed the resident files and interviewed AD about the incident. R1 and R2 share a room and do not with to be separated.

No deficiencies cited during this Case Management visit.

A copy of this report was provided, and an exit interview conducted with Paige Williamson.

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