Facility Evaluation Report
Capacity4
Census1
Date signed01/10/2025 02:46:14 PM
In conjunction with the complaint number 31-AS-20230811124356 Licensing Program Analyst (LPA) Mariana Agban conducted a case management- Deficiencies visit. During the complaint investigation, it was confirmed that facility staff did not complete and submit the required SOC 341 Report of Suspected Adult/Elder Abuse as a part of Assembly Bill 40(AB40) requirements. Per the records review, R1 sustained injuries during a physical altercation with R2. Facility staff was reminded to complete and submit SOC 341 upon suspecting any abuse at the facility.
Exit Interview Conducted. Deficiencies Cited. Report Issued
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction