Facility Evaluation Report

Licensing Program Analyst (LPA), Robert Campbell conducted a case management visit to the facility for the purpose of issuing deficiencies related to complaint investigation 18-AS-20240111145220. LPA Robert met with Angelica Oosting/Administrator, and explained the purpose of the visit and assisted LPA.

During the investigation, information obtained revealed that Resident 1 (R1) had multiple times where R1 eloped from the facility, also reported by Ken Oosting/Licensee R1 came to the facility high on medication violating other resident personal rights.

LPA conducted a review of Special Incident Reports submitted by facility staff and did not find any documentation referencing incidents listed above. Interview with Administrator, Ken Oosting acknowledged the incidents with R1 occurred and could not provide Special Incident Reports submitted to Community Care Licensing Division upon request. As a result, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations.

An exit interview was conducted and a copy of this report, 809-D and Appeal Rights was discussed with and provided to facility representative.