Senior Care Records.

Facility Evaluation Report

Michael's Residential Home Care, Stockton02/15/2023Licence 397203009

Capacity6
Census5
Date signed02/15/2023 03:09:03 PM
The inspector’s account

LPA Johnson arrived at the care facility and met with Staff to conduct a case management visit into an incident report received on 02/10/2023 from Open Door Services.

R1 had a fall due to a seizure at the care home on 2/9/2023 in the evening and was sent to San Joaquin General ER, as a result of the visit R1 received sutures just below the left knee and was sent back home. The facility called the Regional Center and was preparing to send the incident report to all parties, but was contacted by the day program prior the facility notifying the day program. The facility did not notify Licensing by phone or email; because the Administrator thought that she did not have to call the department she thought she just had to send the incident report within seven days.

80061 Reporting Requirements (a) Each licensee or applicant shall furnish to the licensing agency reports as required by the Department, including, but not limited to, those specified in this section. ( b) upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report shall be made to the licensing agency within the agency's next working day during its normal business hours. In addition, a written report containing the information specified in (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event. (D) Any injury to any client which requires medical treatment. No deficiencies were cited. Advisory given, the seven days requirement has not expired. The event happened on 2/09/23.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction