Facility Evaluation Report

On 8/9/2024 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct a case management visit. LPA introduced herself and explained the reason for the visit. LPA met with Administrator Doderlein Anaya Fernandez.

On 9/5/2024 at 3:44 pm LPA requested AD to provide an explanation for the bruising on R1's right arm. On 9/5/2024 LPA searched for the incident reports regarding R1's bruises but was unable to locate. AD responded on 9/6/2024 at 8:44 am stating incident reports were previously submitted via fax. LPA did not observed a fax confirmation on the incident reports included in the email. The incident reports included on 9/6/2024 email indicated the family was informed of the bruising verbally. According to Title 22, Division 6, Chapter 8 the Dept. and responsible party should be notified in writing within 7 days of the occurrence. AD stated verbal notice was given to family members..

Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Administrator Doderlein Anaya Fernandez.