Facility Evaluation Report
Licensing Program Analyst (LPA) Marisela Garcia-Centeno made a Case Management visit to follow-up on an incident report. LPA identified herself and was granted entry by Nia Colman, Receptionist. LPA stated the purpose of the visit with Natalie Carlborg, Acting Executive Director.
A Incident Report was received by Community Care Licensing (CCL) on August 8, 2023, informing that Resident #1 (R1) [staff was provided an LIC 811 that identifies the resident] sustained multiple injuries of unknown source.
During today's visit, LPA Garcia-Centeno conducted a health and safety check and collected R1's records. No health and safety violations were observed during the today's visit.
An exit interview was conducted with Acting Executive Director, Carlsborg to whom a copy of this report, and LIC811 Confidential Names report and the appeal rights (LIC9058 01/16), were provided at the end of the visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction