Senior Care Records.

Facility Evaluation Report

Allied Pathways Care Home LLC, Mission Viejo08/26/2021Licence 306005920

Capacity4
Census4
Date signed08/26/2021 01:23:25 PM
The inspector’s account

Licensing Program Analyst (LPA) Albert Marin made an unannounced case management visit to this facility to follow up on the incident reports that Community Care Licensing Division (CCLD) Orange Regional Office received from this facility. Via phone, LPA spoke with Administrators (ADs) Gerald Jones and Kevin Clark. LPA stated the purpose of this visit.

On August 16, 2021 CCLD received a report from the facility indicating what had happened to one of their staff members.

ADs Jones and Clark discussed the event that had happened and what were the steps that the facility is taking to ensure the health and safety of the clients in care.

On August 20, 2021, CCLD received an incident report on Client 1 who was brought to the hospital for further evaluation and management.

ADs discussed the current plans for Client 1.

For this visit, no citation was issued at this time.

LPA Marin conducted a phone exit interview with ADs Gerald Jones and Kevin Clark. Both ADs gave consent for Staff 1 to sign and receive the report. LPA left copy of this report in the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction