Facility Evaluation Report

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20250416094856. LPA met with Chief Operating Officer (COO) Faye Shen and explained the reason for today’s inspection.

During the course of the investigation, Licensing Program Analyst (LPA) Sean Haddad inspected the facility, interviewed COO, witnesses, and staff, and obtained and reviewed copies of the resident roster, staff roster, and a staff statement.

Per an interview with Witness #1 (W1), on May 12, 2025, at around 8:00PM, W1 was visiting Resident #1 (R1) at the facility, Staff #1 (S1) advised W1 that visiting hours were over, W1 called Regional Manager (RM) Stanic who spoke with S1 and confirmed W1 could visit longer, but then at around 9:00PM S1 called the police on W1. LPA reviewed a staff statement from S1 indicating they received RM’s guidance that family members are able to visit at any time, but ignored that guidance and chose to call the police because W1 stayed past visiting hours. LPA interviewed COO who stated that the facility generally has no issue with allowing visitors to stay past visiting hours, but that W1 is abusive to staff when they visit, the facility has had to call the police on W1 multiple times in the past, R1’s other responsible parties have warned the facility about W1, that the police were called because W1 was speaking angrily to staff, and that it was the police who arrested W1 based on W1’s behavior. .