Senior Care Records.

Facility Evaluation Report

Kaiser Specialized Residential Serrano, Apple Valley01/03/2025Licence 366423573

Capacity4
Census4
Date signed01/03/2025 01:04:08 PM
The inspector’s account

Licensing Program Analyst (LPA) Magda Malcore conducted a case management visit based on an incident report submitted to the regional office on 12/23/24. LPA met with Administrator Reba Jordan and informed the purpose of the visit.

Interviews with facility staff and clients reveals, on 12/22/24, staff #1(S1) hit client #1 (C1) in the face during an altercation at the facility. C1's interview reveals that they were hit by one staff which was S1. C1 was taken to the hospital on 12/22/24 for treatment to C1's left orbit. S1 was placed on unpaid leave on 12/22/24 and then terminated on 12/26/24.

A citation is being issued in accordance with Title 22, division 6, of the California Code of regulations.

A exit interview was conducted where this report and correction plans were discussed. Copies of reports (LIC809 and LIC809-D) were provided to the Administrator with Appeal rights at the conclusion of the visit.

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