Facility Evaluation Report

On 5/8/2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced visit to follow up on an incident that was reported by the facility. LPA met with house manager, Joyce and explained the purpose of today's visit.

On 11/20/2023, the facility reported to Community Care Licensing (CCL) that on 11/13/2023, the facility staff noted some bruises on resident #1 (R1)'s body and they were getting worse as well as new bruises were noted. The facility also reported that the bruises appeared to be caused by punches, kicks, and pinches.

Based on the documents provided, on 11/10/2023, R1's day program reported there was no bruises or incidents that had happened and there were no bruises reported by the facility on 11/11/2023 at the facility. R1 was taken for lab work and the results were normal.

During the initial interview with facility staff, staff #1 (S1) reported that he/she suspected staff #2(S2) abused R1 as S2 was the only staff working the night shift and on 11/12/2023, S1 reported that he/she heard S2 yelling at R1 in the room and witnessed S2 slapping R1.

After the investigation, this incident has been substantiated.

Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties.

Report was discussed and reviewed with the house manager.

A copy of this report and the Appeal Rights is provided.