Facility Evaluation Report

Licensing Program Analyst (LPA) Loera arrived unannounced to conduct a Case Management - Incident visit and met with Memory Care Director, Sean Bannister. The purpose of the visit was to follow up on self reported incident that was submitted to Community Care Licensing (CCL).

CCL received an incident report on 05/07/2025, Report stated that on 05/07/2025 resident (R1) had asked staff (S1) on duty for a bowl of cereal. S1 gave it to R1 and R1 dropped it. R1 then stated that S1 yelled at them and snatched their glasses off their face and threw them.

LPA gathered documents and confirmed facility is conducting an investigation that is still ongoing. R1 has a one on one caregiver from an outside agency. Facility is currently investigating if one on one caregiver was present during incident.

Exit interview conducted with Memory Care Director. Copy of report and LIC811 (confidential names) was provided.