Facility Evaluation Report

On 06/05/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Case Management Visit to the facility listed above. LPA met with Lead Caregiver, Elvira Brondial and the purpose of today’s visit was explained.

LPA conducted a Case Management Visit due to an SOC341 that was submitted to Community Care Licensing regarding Resident R1. The reporting party provided the following information: the resident had recently moved into an assisted living facility and has progressively deteriorated physically and mentally. The patient was ambulatory prior to moving into the facility and is now in a wheelchair. Resident R1 had bruising due to a fall on 05/16/2025. Additionally, it was reported staff hit resident R1.

During today’s visit, LPA inspected the facility, interviewed Staff S1- S3, interviewed Residents R2-R5, and reviewed Resident R1’s documents at the facility. LPA reviewed Resident R1’s Physician’s Report dated 05/08/2025, that indicates R1 is non-ambulatory, indicated Motor Impairment due to gait instability and indicates R1 requires assistance with activities of daily living (ADLs). Additionally, in the Physician’s Report it was indicated that R1 has been Confused/Disoriented, displaying Inappropriate Behavior, Wandering Behavior, and Sundowning.

During interviews with Residents R2-R4, were asked if they have any concerns with health and safety living in this facility, three (3) out of three (3) stated they have no health and safety concerns. Additionally, Residents R2-R4 were asked if staff have hit them or if they have seen staff hit another resident, three (3) out of three (3) stated they have not been hit or have seen staff hit a resident.

During interviews with Staff S1-S3, were asked if they have or if they have seen staff hit a resident, three (3) out of three (3) stated they have not hit a resident nor have they seen another staff hit a resident.

LPA did not observe any Health and Safety concerns.

LPA did not observe or cite any deficiencies.

An exit interview was conducted with Lead Caregiver, Elvira Brondial, and a copy of this report was provided