Facility Evaluation Report
On 6/14/2022 at 9:30 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced case management inspection at the facility. LPA met with Administrator Carmen Galicia to discuss the purpose of the visit, which is to gather additional information regarding the SIR/UIR (unusual incident report) dated 6/10/22 for an incident involving Resident #1(R1) and Resident #2(R2).
According to the incident report, R1 struck R2 in the head with an aluminum cane. The incident resulted in R2 receiving a half-inch scar on the right side of the head. The facility called the police, and R1 was taken into custody.
During today's visit, LPA interviewed Administrator, staff (S1), R1, R2, R3 and R4. LPA reviewed R1 and R2 files and toured the facility with administrator. LPA did not observe signs of neglect, abuse, or other immediate health and safety threats. LPA obtained copies of the following documents:
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction