Facility Evaluation Report

This unannounced case management visit is being conducted by Licensing Program Analysts (LPAs) Ruth Martinez and Nancy Guillen to follow up on incident reported to Community Care Licensing. LPAs met with Patricia Miller, Executive Director and explained the nature of the visit.

Incident report dated 5/1/26 for a witnessed fall involving resident R1. R1 was in a common area of the facility when it was observed R1 fell cause of fall is unknown. Staff assisted R1 immediately and R1 was observed to be confused and did not recall how the fall occurred. R1 complained of pain in left side extremities. 911 was called immediately and sent out for further evaluation. R1 underwent surgery due to injury and was sent out to a skilled nursing. Upon today’s visit LPAs observed R1 arriving at the facility clean, groomed and in good spirit. R1 was re-assessed prior to return to facility and was determined they needed a higher level of care, moved to another wing of the facility and required 1:1 care. R1 upon admissions was determined to be a fall risk resident and fall prevention measure were implemented. LPAs toured the facility and R1’s bedroom and did not observe any concerns with the bedroom. LPAs obtained copies of pertinent documents.

LPA found that facility acted appropriately and in a timely manner to address the incident and all other immediate attention to incident in question. LPA did not observe any immediate and/or safety risks in or out of the facility.

Based on the observation made during today's visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with Executive Director and a copy of this LIC809 report was provided and left at the facility.