Senior Care Records.

Facility Evaluation Report

J. Nagtalon Adult Care Services II, Sacramento04/25/2022Licence 342701031

Capacity4
Census4
Date signed04/25/2022 10:30:53 AM
The inspector’s account

On 04/25/2022, Licensing Program Analyst (LPA) Chris Hopkins, conducted an unannounced case management visit regarding an incident report which occurred on 04/15/2022. LPA met with Licensee Susan Nagtalon and explained the purpose of the visit.

LPA Hopkins reviewed the incident report submitted to CCLD on 04/18/2022 regarding an incident that happened on 4/15/2022. Resident 1 (R1) accused staff 1 (S1) of physically hitting him/her. R1 called 911 and Police arrived on scene. During the interview R1 changed his story on what staff hit him/her and accused staff 2 (S2) of hitting him/her. Licensee conducted investigation along with Administrator and found that R1 was not physically hit. Licensee interviewed staff and both S1 and S2 denied hitting R1. Licensee examined R1 for any marks or signs of being hit and there were none. LPA interviewed R1 and R1 stated that S2 did not hit him/her, it was S1 that him/her. LPA then asked where did S1 hit him/her, and R1 responded he/she did not know. LPA interviewed S1 and S1 denied ever hitting R1.

Exit interview conducted with Licensee and a copy of report given.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction