Facility Evaluation Report

On 11-9-22 at 10:15am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management regarding a reported incident occurring on 9-21-22. LPA met with Program Director (PD) Sherry Welker-Loza and explained the purpose of the visit. LPA interviewed PD and reviewed incident report with PD. Based on interview and record review, it was determined that Resident1 (R1) and R2 were engaged in a physical altercation in which R1 hit R2 with a closed fist on the right side of his face and scratched R2 as well, leaving a minor injury.

Further review and interview revealed that licensing department and responsible party for R1 and R2 were notified, however, local law enforcement and ombudsman were not notified per regulatory requirements.

Based on today's case management, deficiency were cited under Title 22, Division 6 and noted on LIC 809D

An exit interview was conducted with Sherry Welker-Loza and a copy of this report was left with Sherry. Appeal rights provided.