Facility Evaluation Report

An Informal Conference was conducted today in the Woodland Hills Adult and Senior Care Regional Office. The purpose of this Informal Conference is to discuss a complaint regarding the allegations Resident (R1) sustained unexplained injuries while in care and resident wandered away from the facility. Prior to the meeting, Administrator was given the chance to review the facility file.

Present at today's meeting are the following:

· Cassandra Harris, Licensing Program Manager (LPM)

· Melissa Spaeth, Licensing Program Analyst (LPA)

The informal conference process was explained to the Licensee. The Licensee was also informed that this Informal Conference is a part of the administrative action process. Further citations may result in a Non-Compliance Conference, which could lead to a referral to the Department's Legal Division for possible license revocation or other administrative actions.

BRIEF HISTORY: Facility has been in operation since licensure on June 30, 2004 for a maximum of five (5) residents. LPM Harris discussed and expressed concerns regarding the April 1, 2022.

A complaint investigation was conducted by Investigations Branch Investigator Christine Ferris and Heidy Bendana regarding the allegation resident sustained unexplained injuries while in care. Based upon the physician's report dated 3/16/2022 and residents' interviews, the allegation was unfounded.

On October 6, 2022, LPA Spaeth conducted a complaint investigation and interviewed the caregiver who confirmed R1 left the facility at approximately 7:30 am on 4/01/2022 and the caregiver was unaware that the resident had been absent for approximately three hours. Caregiver stated R1 had knocked on a neighbor's