Facility Evaluation Report

At approximately 1:45 p.m. on 07/03/26, Licensing Program Analyst (LPA) Nicholas Reed conducted a case management visit to deliver Immediate Exclusion letters. LPA met with Staff #1 (S1) and explained the purpose of the visit.

The purpose of this visit is to deliver Immediate Exclusion letters for S1 and Staff #2 (S2). During a complaint investigation it was found that S1 had spoken inappropriately to a resident in care and S2 was present and did not report the incident to the proper agencies as a mandated reporter. The complaint was substantiated under Personal Rights 87468.1(a)(3).

Deficiency is being noted on the corresponding LIC809-D page per Title 22 Regulations to address S2 not reporting the observation of verbal abuse towards the resident to the proper agencies as a mandated reporter.

The Immediate Exclusion letters were hand delivered to S1 and the licensee.

A copy of the Immediate Exclusion was hand delivered to S1 during today’s visit. S2 was not present at the time of the visit. Therefore, a copy of the Immediate Exclusion letter was not hand delivered to S2 and will be sent via mail/certified mail.

No immediate health or safety issues observed.

Exit interview conducted. A copy of this report was provided.