Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Gregory Case.

Today's visit was in response to two (2) LIC624 Incident Reports, which Licensee self-submitted to the CCLD San Diego Regional Office (both were received on 02/09/2024).

According to the LIC624s: On 02/06/2024, facility management first became aware of allegations of Staff #1’s (S1’s) mistreatment of residents. Specifically, it was alleged that S1 handled Resident #1 (R1) roughly during personal care and that S1 intentionally gave Resident #2 (R2) a cold shower. [See LIC 811 Confidential Names List for a description of select person identifiers used in this report]. Upon receiving these allegations, Licensee immediately suspended S1’s employment pending further investigation.

During today’s visit, LPA performed a brief facility tour and welfare check on select residents in care. LPA collected copies of and reviewed pertinent care and personnel records, as well as handwritten and signed statements from staff (which Licensee’s collected during its own internal investigation). LPA also independently interviewed multiple relevant staff.