Facility Evaluation Report

Licensing Program Analyst (LPA) LaVette Farlow arrived at the facility unannounced to conduct a Case Management- Health and Safety check. This case management visit is in response to a Special Incident Report (SIR) submitted to the Community Care Licensing Office on 04/08/26. LPA was greeted and granted entry into the facility by Sandra Guzman, Lead Concierge. Sandra notified the Business Office Director Becky Morales-Melo of LPA's arrival and later meet with LPA. LPA introduced self and explained the purpose of the visit.

On 04/07/2026, it was reported that staff 1 (S1) violated resident 1 (R1) personal rights by speaking to them inappropriately, grabbing R1 in an aggressive manner, and toasting R1 personal belongings.

During today's visit, LPA discussed the incident and events surrounding the investigation with Becky. LPA conducted a health and safety check, toured the facility, and reviewed records. During record review and staff interview it was revealed from the conclusion of the facilities internal investigation a total of three staff were terminated or resigned from the facility.

A Deficiency was issued during this visit. An exit interview was conducted where this report LIC809, LIC809D and appeal rights were, reviewed, discussed and then provided to Business Office Director, Becky Morales-Melo.