Facility Evaluation Report

On 4/13/23 at approximately 3:45pm Licensing Program Analysts (LPAs) Maja Jensen and Kimberly Viarella arrived unannounced to conduct a case management related to incident reports recently received for Resident 1 (R1). LPAs Jensen and Viarella met with Licensee Rebecca Hammett and explained the purpose of today's visit.

LPA Jensen reviewed partial resident files for 2 of 2 residents and interviewed 1 staff member and the Licensee. Due to time constraints, this case management will or may be continued at a later date.

During the course of the visit, LPA Jensen observed Resident 2 had a sustained a head injury that consisted of a scratch approximately an inch in length and there was no visible bruising. LPA Jensen asked Licensee if a report had been submitted. The Licensee advised that the fall was unwitnessed but the resident was taken to be evaluated by medical professionals and cleared therefore no report was made.

A deficiency is being cited from Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties.

An exit interview was conducted and a copy of this report and appeal rights were provided.