Facility Evaluation Report

In conjunction with complaint investigation, Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted a case management visit to address the deficiencies unrelated to the complaint.

During complaint #31-AS-20241113133500 investigation, between 9:45pm and 11:20am, LPA Alvizar-Ettima was informed that on 11/12/2024 staff #2 (S2) was sleeping in the living room couch while resident #1 (R1) having aggressive and combative behavior, throwing a chair off the table while in the kitchen where S1 was using the stove. Witnessed #1 (W1) had to tap S2 on their shoulder to wake them up to help S1 to redirect R1.

Based on the descriptions of the incident, S2 was asleep during their shift while R1’s aggressive and combative behavior was reflecting health, safety and well-being of S1 and W1 and other facility residents.

Therefore, Under Title 22 Regulations, the following citation is issued and recorded on LIC809D.

No other health and safety hazard is noted during this visit.

Exit interview was conducted. An appeal rights were discussed and a copy of report was issued.