Facility Evaluation Report

On 12/11/2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced case management visit to follow up on an incident that was reported by the facility. Upon entry, LPA was greeted by staff, Evelyn Arches and LPA explained the purpose of today's visit. The lead staff, Esmeralda Patricio arrived shortly thereafter and assisted with the visit.

Facility reported an incident that happened on 11/26/2025 during the afternoon drop-off route when resident #1 (R1) became agitated and hit resident #2 (R2). R2 sustained some redness on the face.

During today's visit, LPA interviewed staff #1 (S1) who was driving the van when the incident happened and S1 stated that she did not witness the incident, but she heard a noise that triggered her attention. She stated that R1 and R2 were sitting next to each other in the back row of the van and after she heard the noise, she saw R2 move away from R1. She stated that she instructed her co-worker (S2) to protect the other residents. She stated that after the incident; she changed the drop-off route to drop off R1 and R2 at their facility first to prevent the incident from happening again.

LPA interviewed S2 who stated that she was sitting in the row in front of R1 and R2 and she also did not witness what happened but she heard a noise, she turned around and witnessed R2 was moving away from R1. She stated that after the incident, she protected the residents and monitored them closely.

During today's visit, both residents were on an outing and facility staff reported that they are doing well with no further aggression behavior presented by R1. The lead staff stated that the facility is monitoring R1 and R2 closely to prevent this from happening again.