Facility Evaluation Report

On 12/19/23, Licensing Program Analysts (LPA) Talwinder Bains arrived at the facility to conduct a Case Management visit regarding an incident that occurred on 12/16/23 for resident (R1) and facility submitted incident report (SIR) and SOC341 on12/18/23 and notified Community Care Licensing (CCLD) and other required agencies. LPA met with DSP, Rudy Morgan and explained the reason for the visit.

SIR and SOC341 stated that there were starches on R1s back and bruises on R1s right arm that appeared to be older bruises which was noticed by staff on 12/16/23 during routine care . Reports stated that the bruises on R1s arm look like fingertips. R1 was nonverbal ,has a Intellectual disability and autism. R1 did not appear to be in pain. R1 ambulates independently. Facility notified this incident to ALTA, R1s physician, responsible party , Adult Protective Services (APS) and other required agencies on 12/18/23 . There were no changes to R1s health due to this incident and they are at their baseline.

During, today's visit, LPA interviewed staff (S1) related to this incident. LPA and S1 checked R1s skin during this visit and did not observe any skin marks, redness or discoloration on R1s back or arms. LPA observed R1 enjoying activities during today's visit.

No deficiencies were observed or cited today.

Exit interview conducted and copy of this report has been provided.