Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted a Case Management - Incident visit regarding a self-reported incident. LPA met with Administrator Patrice O'Grady and explained the reason for the visit.

A suspected abuse report was emailed to the Woodland Hills Regional Office (RO) on Friday night 12/12/2025. Corresponding incident report related to Resident #1 (R1) and Resident #2 (R2) was emailed to the RO on Saturday 12/13/2025. Incident Report indicated R1 reported to facility staff that R2 had sexually assaulted R1. Immediately following R1's reporting of the incident, the facility placed R2 on 1:1 care, informed both residents' responsible parties, and reported to local police. Police responded to the facility and a police report was filed.

During LPA's visit today, LPA discussed the incident report with Administrator at 11:34AM, toured the facility with Administrator at 11:52AM and LPA obtained copies of pertinent documents. No immediate health and safety hazards were identified during facility tour.

Administrator was informed that the incident was referred to Community Care Licensing Division's Investigations Branch (IB). If after reviewing all information further investigation is warranted, LPA and/or IB investigator may return at a later date.

No deficiencies cited during today's visit. Exit interview conducted. A copy of the report was provided.