Facility Evaluation Report
On 12/17/2024, the Department of Social Services (DSS) - Community Care Licensing Division (CCLD) staff conducted a Case Management visit at this facility to deliver an additional deficiency regarding COMPLAINT CONTROL NUMBER: 11-AS-20241125165223. CCLD staff met with the Executive Director, Fabiola Marciano and explained the purpose of the visit.
The investigation revealed the following:
On 11/20/2024, Staff 1 (S1) handled a resident in a rough manner.
Interviews conducted revealed the following:
Two witnesses indicated that they saw S1 handle a resident in a rough manner.
The Resident Care Coordinator was informed of the incident on 11/22/2024.
The Executive Director was informed of the incident on 11/22/2024.
Both the Resident Care Coordinator and the Executive Director indicated that they did not submit an Unusual Incident/Injury Report to CCLD.
On 12/03/2024, the Department reviewed CCLD’s El Segundo’s Regional Office files and did not find an Unusual Incident/Injury Report regarding the incident above.
A deficiency is being cited based on interviews conducted and record review in accordance with the California Code of Regulations, Title 22. A deficiency regarding Reporting Requirements. An exit interview was conducted, and a copy of this report was left with the Executive Director along with their appeal rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction