Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator (AMD) Radhika Martinez.

The purpose of the visit was to follow up on two incidents self-reported by the facility. The first incident was reported via Unusual Incident/Injury Report (IR) on 07/25/2025. The IR reported that on 07/22/2025, memory care resident R1 reported to R1's family member that R1 had been raped. The IR stated that R1's child reported to the facility that R1 has previously reported being kidnapped and that people are stealing from him/her. The IR stated R1's child believed R1's allegation of rape was a hallucination.

During visit, LPA Marrufo interviewed staff S1-S4. Staff S1-S4 stated to have never observed anyone physically or sexually abuse R1. LPA Marrufo obtained a copy of a law enforcement incident card, which includes the case number that was also reported on the IR and is dated 07/23/2025. The incident card stated that a police report was not taken.

LPA Marrufo conducted a wellness check on R1 and observed R1 to not have any bruises on his/her hands, face, or neck. R1 was dressed in clean clothing and was sitting in a wheelchair.

The second incident was self-reported by the facility via SOC341 Suspected Adult/Elderly Abuse Form and Unusual Injury/Incident Report on 11/19/2025. The SOC341 stated that memory care resident R2 hit memory care resident R3 two times on the shoulder.

See LIC809-C page for more information. Page 1 of 2.