Facility Evaluation Report
Licensing Program Analyst (LPA) De Leon conducted a case management incident visit to the facility above. LPA met with Business Office Director Rachel Tanaka and explained the purpose of the visit.
It was reported to Community Care Licensing (CCL) that the facility had an incident on 08/31/2021 regarding a resident that was taken to the ER. CCL did not receive any incident report from the facility regarding such an incident for that date. Based on information received at the visit to the facility, the facility staff/Administrator failed to report the incident to CCL.
Exit interview conducted, deficiency cited, copy of report and appeal rights emailed to Licensee/Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction