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 House Manager Joseph Bisco. LPA then met with Site Manager Anafe Rivera, who arrived later during the visit.

Today's visit was in response to an LIC624 Incident Report, which Licensee self-submitted to the CCLD San Diego Regional Office (received on 02/02/2024). According to the LIC624, Licensee on 01/30/2024 first became aware of an allegation of physical abuse of a sexual nature by Staff #1 (S1) against Resident #1 (R1), via a third-party source. [See LIC 811 Confidential Names List for a description of person identifiers used in this report].

During today’s visit, LPA performed a facility tour / welfare check, collected and reviewed pertinent records, and interviewed S1 and other relevant staff. As of the date of LPA’s visit, R1, who was a hospice patient, had since passed away and thus could not be interviewed.

According to R1’s latest LIC602 Physician’s Report (dated 01/10/2024): R1’s primary diagnosis was “high grade glioblastoma multiforme” (i.e., a malignant cancerous brain tumor) which was Stage 4 (i.e., advanced). R1’s doctor wrote that R1 was occasionally confused and while R1 was ambulatory, R1 was not able to safely leave the facility unassisted.