Facility Evaluation Report

Licensing Program Analysts (LPAs) Vincent Moleski and Holly Williams arrived unannounced to open a complaint investigation, and observed unrelated deficiencies. LPAs Moleski and Williams met with facility administrator Helen Enriquez and explained the purpose of the visit.

LPAs Moleski and Williams were informed by Enriquez that a resident (R1) during the month of July 2024 ripped out their catheter and lacerated themselves in doing so. The resident was taken to the hospital, according to Enriquez. Enriquez also said that R1 was taken to the hospital on July 19, 2024, and was diagnosed with a fracture to their upper arm. The Community Care Licensing Division (CCLD) did not receive any reports regarding these incidents. Enriquez confirmed that no incident reports were sent to CCLD. In an interview, a staff member (S1) confirmed that R1 had been taken to the hospital for their catheter, and for pain in their arm.

LPA Moleski asked for R1's file. LPA Moleski was told by Enriquez and S1 that R1's file was not present. According to Enriquez and S1, S1 had mistakenly placed R1's file with their belongings when moving out in late July. The whereabouts of the file were unknown to Enriquez and S1.

This facility is being cited per 22 CCR Sections 87211(a)(1)(B) and 87506(e). An exit interview was held with Enriquez. Appeal rights and a copy of this report were left with Enriquez.