Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette met with at the Fresno Regional Office. LPA met with Administrator Brittany Kavanaugh and Wellness Director Elizabeth Vasku. Licensee Ben Berkowitz.

During the course of the investigation for complaint number 24-AS-20251112135800, LPA discovered the following:

Interviews conducted with staff revealed that on 11/4/2025, R1 began demonstrating challenging behaviors and was transported to a hospital by Facility Staff. Hospital records indicate that R1 was to be discharged back to the facility on 11/4/2025. It was found during interviews that R1 requested to return to the facility, however facility staff refused to accept R1 back from the hospital due to R1’s complaints about the facility and challenging behaviors. Medical records confirmed that the facility refused to accept R1 back from the hospital from 11/4/2025 -11/21/2025. With the assistance from the Ombudsman and hospital staff, R1 returned to the facility on 11/21/2025 via hospital transportation. Upon arrival, facility staff stated they accepted the resident back to the facility.

A deficiency is being cited in accordance with California Code of Regulations, Title 22, Division 6 on the attached 809D.

Exit interview conducted and a plan of correction was developed and reviewed. A copy of this report and appeal rights were discussed and provided to Administrator.