Facility Evaluation Report, 12/12/2025 — Carehaven Valencia, Citrus Heights CA

Licensing Program Analyst (LPA) Sabrina Calzada arrived at the facility unannounced to conduct a follow up case management inspection and met with Julie Smith and Jenice Beecher, caregivers, who indicated the Administrators were currently out of town. LPA stated the reason for the inspection was to follow up on several incident reports (LIC624) submitted to the Department since November 28, 2025 for resident (R1).

LPA reviewed LIC624 for November 25, 2025 (1:40 pm) when (R1) fell while walking with their walker from the patio to their room. Staff, Jenice, assisted (R1) to get up and noticed a bump on their left side of the head and provided Tylenol and an ice bag. Family was notified and stated they would check on (R1) tomorrow. The same incident report notes that (R1) felt dizzy when trying to get up, on November 26, 2025, and wanted to see their physician, so the family took them to the Emergency Room at 3:00 pm. (R1) had multiple tests taken and returned to the facility around 9:00 pm.

On November 27, 2025, staff, Julie, assisted (R1) get up from an unwitnessed fall around 3:30 pm in their room. Staff observed resident's right ankle to be swelling and provided Tylenol and ice. The administrator contacted family who stated they would visit (R1) the next day. On November 28, 2025, staff observed (R1) to have worsening pain with swelling/bruising on their right ankle, and unable to bear weight. Family was contacted and took (R1) to Urgent Care in the afternoon, where it was determined (R1) had a fractured right ankle and was sent to the Emergency Room for an Orthopedic Consult. (R1) returned at 1:00 am the following day with a splint on their right leg.

RR1) requested to be seen at the Emergency Room on December 2, 2025 due to dizziness, had multiple tests completed, and obtained an orthopedic boot the following day. Hospital discharge papers do not note any medication changes were made. All tests were negative. (R1) returned to the facility (4) hours later, with a follow up appointment with their primary care physician the next day. *cont on 809C-1. .