Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted a health and safety visit to the facility on 1/26/2023 at 9:24 a.m. LPA met with Licensee, Esta Hobbs who was informed of the purpose of the purpose of the visit. At the time of the visit there were (2) staff and (3) residents present.

The department had gotten a cross-report for suspected elder abuse for R1 on 01/12/2023, where it was written that R1 was handled in a rough manner at the facility by an outside agency. LPA spoke with R1 during the time of the visit who stated they were "absolutely fine". LPA observed the R1's neck and clavicle area and did not observe any signs of rough handling. LPA collected the body check done on R1 from the time of the incident to today's date, which did not include any signs of deterioration in the skin integrity.

LPA spoke with the licensee who stated that the incident had been reported and faxed to the department on 1/25/2023. LPA was informed by the regional office that these reports were received. Through conversation licensee expressed agreement and understanding of the reporting requirements for suspected elder abuse. The licensee acknowledges that an incident report must be sent to the department and SOC341 to the appropriate agencies.

It was found that R1 has a camera with monitor in their room that the facility does not have an exception on file for. Licensee stated they will submit a exception request for the camera monitor. LPA documented deficiency and plan of correction for this.

An exit interview was conducted and copy of this report was reviewed and provided to Licensee, Esta Hobbs, along with LIC 809-D page and appeal rights.