Facility Evaluation Report

Licensing Program Analyst (LPA) Erika Miller was accompanied by Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Miguel Maga ñ a to conduct an unannounced on-site visit to the facility related to an incident that occurred on 8/8/2024.

LPA and QAS met with Administrators, Charmaine Abata and Angie Pimentel and explained the purpose of the visit. LPA and QAS interviewed Administrators regarding the incident and discussed best practices related to change of condition protocol. LPA and QAS also interviewed residents.

On 8/8/24 Resident 1 (R1) showed Staff 1 (S1) lower abdomen with 6-7 little dark spots. R1 indicated that it did not hurt, and no trauma was observed by staff. S1 notified administrator, but no documentation was kept or provided. Administrator advised S1 to monitor R1 for changes, S1 did not believe marks were evidence of bruising. The following day S1 did not notice any changes as R1 bathed himself and went to a medical appointment.

On 8/9/24 Staff 2 (S2) transported R1 to medical appointment. Administrator stated that a social worker called to advise that bruises of unknown original were observed on R1. Administrator stated that they spoke with a nurse who advised it was an unusual kind of bruise and suggested it may have been a side effect of a change in medication. However there have been no changes to R1 medication. Administrator interviewed R1, who communicated that they went to doctor’s office and does not know how bruises appeared. R1 went to a medical appointment and day program on 8/7/24 and 8/8/2024, respectively and no incidents were reported. Administrator does not have any documentation from social workers, medical providers, or any notes from interview with R1.