Facility Evaluation Report

On 08/17/23, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct the required annual continuation inspection. LPA was greeted by Program Director, and Administrator, stated the purpose of the visit and was allowed entry into the facility.

During a complaint investigation, it was found that Resident R1 sustained an injury that required emergency services to be contacted. R1 was transported to hospital for medical care. LPA reviewed facility file and incident reporting. LPA observed the last incident report sent to Community Care Licensing was October 2022. Facility has not been reporting incidents as required.

Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 809-D. If not corrected, this poses a potential risk to the health safety and personal rights to residents in care.

An exit interview was conducted with Administrator. A copy of this report and appeal rights were discussed and provided at the time of visit. A plan of correction was developed by Administrator and reviewed with LPA with a due date of 08/25/23.