Facility Evaluation Report, 07/29/2024 — Lytton Gardens Community Care, Palo Alto CA

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator (ADM) Anahi McKane.

The purpose of the visit was to cite the facility for deficiencies related to an incident that occurred on 06/30/2024 around 8 PM and that the facility reported to the Department via SOC341 Suspected Adult/Elderly Abuse Form on 07/02/2024. On Sunday 06/30/2024 at 8 PM, staff S1 heard sounds coming from the living unit of resident R1 that sounded like R1's Private Duty Care Giver (PDCG1) was verbally abusing R1 and throwing around objects in R1's living unit. Staff S1 stood outside of R1's living unit and made video recordings that captured the sounds of PDCG1's voice while PDCG1 was verbally abusing R1 and the sounds of objects being thrown around in the living unit. The SOC341 stated that R1 reported to facility staff that PDCG1 hit R1 in the lower right leg.

During visit on 07/22/2024, LPA Marrufo reviewed three video recordings that Administrator Anahi McKane stated R1 took while standing outside of R1's living unit while PDCG1 was inside. LPA Marrufo could hear the sound of someone yelling and cursing from inside R1's living unit. LPA Marrufo interviewed R1 during visit. R1 stated during interview that PDCG1 was yelling and cursing at R1 and hit R1 in the lower right leg. R1 stated that staff did not come into R1's living unit to stop PDCG1 from yelling at R1. During interview on 07/22/2024, Administrator (ADM) Anahi McKane stated that on 06/30/2024, R1 called ADM and reported the incident of PDCG1 verbally abusing R1 and of loud sounds coming from R1's living unit. ADM stated that R1 reported to ADM that after 8 PM, PDCG1 went on a work break. ADM stated that PDCG1 returned to R1's living unit after PDCG1's break and continued to provide care to R1 until 3PM on 08/01/2024. ADM stated on 07/22/2024 and stated to have not yet submitted an LIC624 Unusual Incident/Injury Report to the Department. Deficiencies were cited as per California Code of Regulations Title 22. See LIC809-D for more information.This report was reviewed with ADM Anahi McKane and a copy of this report and appeal rights were provided.