Facility Evaluation Report

Licensing Program Analyst (LPA) Ryan Gardner conducted an unannounced case management visit to amend and reissue forms for complaint 56-AS-20220628120253. LPA met with Administrator Maria Jasmin Dolores and explained the reason for the visit.

LPA removed a deficiency from complaint number 56-AS-20220628120253 dated 7/5/2022 and is reissuing the same deficiency during this visit. LPA found that a incident occurred on 6/20/2022 with a resident leaving the facility without staffs knowledge. The staff was informed the resident was found at a nearby location when the residents responsible party received a phone call from the police department. This incident was not reported to state licensing within the required seven (7) day time frame which poses a potential health, safety, or personal rights risk to persons in care.

During today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report was discussed and provided to Administrator Maria Jasmin Dolores.