Facility Evaluation Report

On 5/5/2026, Licensing Program Analyst (LPA) Murial Han conducted an unannounced Case Management Health and Safety visit to follow up on an incident report that was reported to CCL. Upon entry, LPA was greeted by Registered Nurse Araceli Aguilar and Administrator Assistant, Julie Gossage and LPA explained the purpose of today's visit. The administrator arrived towards the middle of the visit and assisted with the rest of the visit.

On May 1, 2026, the administrator reported an incident that happened on April 29, 2026, in which resident #1 (R1) was showered by two male staff (S2 and S3) and after the shower, R1 verbalized to staff #1 (S1) that R1 was hurting and did not want to talk about it. Subsequently, S1 was told by S4 that S2 and S3 provided a shower to R1. S1 reported it to the administrator as R1 verbalized that he/she was in pain after being showered.

The administrator started the investigation and interviewed staff members, reported it to the local law enforcement, R1's responsible party and the physician. The facility licensed professional completed an assessment of R1 on the day of the incident and no injuries were noted. However, a reassessment was completed a couple of days later and injury was noted on R1's back.

During today's visit, LPA attempted to interview R1, LPA interviewed resident #2 (R2) and collected documents.

This report is reviewed and discussed with the administrator.