Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a Case Management Visit for health and safety. This case management visit is in response to a Special Incident Report (SIR) submitted to the Community Care Licensing Office. LPA arrived and phone called Administrator, Magdalena Ramirez after knocking and ringing door bell three times. Administrator stated that she was on her way and would arrive shortly. LPA was then greeted by Administrator, Magdalena Ramirez. LPA introduced self and stated purpose of the visit.

During today's visit, LPA discussed the incident and surrounding events with Administrator. LPA did a health and safety check, reviewed facility records and conducted interviews with relevant parties. LPA discovered that client 1 (C1) obtained a bruise on the inner part of their left arm due to staff pulling them out of bed.

Deficiency was cited during this visit. An exit interview was conducted where this report was, reviewed, discussed and then provided to staff, Chandra Howard since Administrator had to leave.