Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and initially met with with care staff, Kerry Parchmont and Nancy Carr. Edith Spiveyhorn, Lead Staff, arrived at approximately 2:-00 pm.

During the course of complaint investigation (59-AS-20240321145120), it was discovered that an incident report was not submitted timely to the Department following a resident's (R1)'s fall at the facility on 3/9/24. An incident report was submitted for the incident on 4/8/24, after the Department requested it be.

Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (1) deficiency is being cited on the 809-D page.

Exit interview with Lead Staff as Administrator was not available during this time. Copy of report and appeal rights provided to the Administrator.