Facility Evaluation Report
Licensing Program Analyst (LPA) Jesse Gardner arrived unannounced to investigate a complaint (18-AS-20230126115904). LPA identified himself, and met with Caregiver Rita Gamez, and explained the purpose of the visit. Gamez accompanied LPA on a tour of the facility.
During interview with Assistant Administrator Marilyn Ponteres, and record review, it was discovered that the facility is not reporting incidents to the Department. On 1/19/2023, Resident One (R1) sustained a fall. On 1/20/2023, Resident Two (R2) sustained a fall and had lacerations on their face. Neither incident was reported to CCL on those dates. Deficiency cited.
An exit interview was conducted where a copy of this report was discussed and provided along with copies of the LIC809-D, and Appeal Rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction