Facility Evaluation Report

On 12-5-2025 at 12:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit. LPA met with program administrator and explained the purpose of the visit. LPA reviewed information gathered from complaint # 27-AS-20251023104311 and conducted interview with program administrator. Based on record review and interview, it was determined that a text message was sent to program administrator on or about 9/18/2025 which stated resident1 (R1) had been slapped by a staff member. Text message also revealed an acknowledgement by program administrator regarding the alleged event. Based on LPA’s record review and interview, it was revealed that this alleged event was not reported to Licensing department and other agencies per regulatory requirements.

As a result of today’s case management, citation is issued under Title 22, Division 6, and noted on LIC 809D. A civil penalty in the amount of $250 was issued in addition to citation due to repeat violation of Section 80064(a)(3) within a 12-month period. An exit interview was conducted with program administrator, and a copy of this report was provided. LIC 811 and Appeal rights provided.