Facility Evaluation Report
At 1:20PM LPA arrived at the facility Michael Garcia was called directly and stated he would be arriving at the facility in 30 minutes. LPA Allen informed him of the purpose of the visit and that I would wait for is arrival.
On 8/23/2023 Licensing Program Analyst (LPA) Bernadette Allen was at the facility to initiate a complaint investigation and deliver the findings on complaint 56-AS-20230815162748.
During the course of investigation LPA discovered that the licensee did not submit a Special Incident Report (SIR) regarding the altercation between Resident 1 (R1) and Resident 2 (R2) resulting R1 going to the hospital and returning back to the facility with stiches.
Based on the information gathered during the investigation the licensee is being cited for not reporting the incident that occurred on 6/2/2023.
A deficiency is being cited in accordance with the California Code of Regulations, Title 22, see LIC809-D and LIC421FC
An exit interview was conducted where this report was discussed and a copy was provided to Michael Garcia at the conclusion of LPA’s visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction