Facility Evaluation Report

On 09/27/2021 at 8:30am, Licensing Program Analyst (LPA) Ashley Boothe arrived unannounced to conduct a case management visit to follow up on incident reports submitted to the Department. LPA contacted Administrator for COVID screening prior to today's visit who confirmed no staff or residents have tested positive within the past 10 days for COVID. LPA arrived, met with Designated staff one (S1), explained the purpose of today’s visit, and was was allowed entry into the facility. Current census 37.

LPA received incident report for incident of altercation between Resident one (R1) and Resident two (R2). Staff two (S2) responded immediately and assessed R1 for injury, contacted Local Law enforcement and responsible parties were notified. R1 declined hospital treatment, follow up with primary care physician scheduled.

LPA conducted a case management inspection to ensure proactive measures were put in place to prevent further incidents. If there is another reoccurrence of the same nature the department will require residents be reassessed by their physician to determine if the current placement continues to be appropriate.

Per the California Code of Regulations, Title 22, Division 6, no deficiencies observed or cited. Exit interview held and a copy of report provided.