Senior Care Records.

Facility Evaluation Report

Bauer Residential-nipomo, Nipomo08/29/2025Licence 405801714

Capacity4
Census4
Date signed08/29/2025 11:23:32 AM
Name of licensing program analystMark Jeffries
Name of licensing program managerKelly Burley
The inspector’s account

At 8:00am on 08/29/2025, Licensing Program Analyst (LPA) Jeffries and Miguel Magana of Tri Counties Regional Center (TCRC) Quality Assurance Specialist (QA) arrived unannounced to the facility. LPA and QA met with Administrator, Shirlet Halliday, announced who they are and the reason for the visit. This is a case management visit pertaining to an incident from Serious Incident Report (SIR) of a staff hitting a client on 08/24/2025 (Saturday night into Sunday early morning shift time). QA and LPA conducted interviews of staff and Administrator. QA conducted an interview of Administrator on 08/26/2025, where Administrator stated that the facility contacted the San Luis Obispo County's Sheriff Department (report# 2508 05583, Deputy Hundsinker) on 08/26/2025 for the physical assault of client by staff. LPA noted staff currently working were not working during, before, or shortly after the time of the incident and did not have details on the incident. QA and LPA observed a discoloration on Client 1 (C1) in the left temple side of head, however unable to determine of discoloration was a result of the assault. Due to the described physical assault of C1 by Staff 1 (S1) a citation of Personal Rights (80072) is assessed at this time. Additionally, because the facility did not report physical abuse, that did not result in great bodily harm within the 24 hours, being a regulation requirement, a citation of Reporting Requirement's (80061) is also issued at this time. Community Care Licensing will continue to follow up on this incident.

Exit interview, report read, citations issued, appeal rights and report provided.

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