Senior Care Records.

Facility Evaluation Report

Inclusion Services Adult Day Program, Commerce05/09/2024Licence 198601523

Capacity45
Date signed05/09/2024 10:09:08 AM
The inspector’s account

Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced Case Management Visit regarding incident report submitted to the department on 05/04/2024. LPA met with Cecilia Pantaleon and explained the reason for the visit.

On 05/04/2024 Staff submitted an incident report that on 05/03/2024 client #1 (C1) was hit on back in restroom by Staff #1 (S1).

During the visit LPA interviewed 3 clients, 3 staff, and S1 over phone. LPA Requested copies of personnel records, incident reports, staff training, and interviews were conducted. S1 and C1 files were obtained. Regarding incident on 5/3/2024 S1 does not have any prior history of hitting or complaints. C1 stated S1 hit her in restroom and gave her scratches. C1 stated “She was hitting me, and I was crying” She then stated she hit her in hallway not restroom. All three (3) staff that was interviewed did not recall her crying and stated she never told them anything about being hit. Facility conducted internal investigation and S1 was pulled from shift until further investigation.

At this time there is no evidence that this incident occurred. Based upon all documents reviewed from Case Management visit dated 05/09/2024, LPA did not find any health and safety concerns or deficiencies. Exit interview was conducted and a copy of this report was provided to Cecilia Pantaleon.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction