Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced case management - other visit and met with Executive Director/Administrator (ED/ADM) Karina Nevarez. LPA stated the purpose of the visit.

On January 14, 2026, the department received a report from Adult Protective Services (APS) and law enforcement, regarding self neglect by a resident (R1) who stated that he/she wanted to harm himself/herself. R1 was taken to the hospital by law enforcement (LE) and placed on 5150 hold.

During today's visit, LPA requested for the following documents Physician's report (LIC 602), appraisal needs and services or individual service plan for R1. Based on document review, on January 16, 2026 the department received the incident report from the facility stating that R1 wanted to harm himself/herself and was taken to the hospital by LE.

LPA conducted an interview with ED/ADM. ED/ADM stated that R1 has been at the facility for two months. ED/ADM stated that during R1s behavioral episode staff were present to ensure R1s safety. ED/ADM stated that staff tried to redirect R1, however, R1 refused to go back inside the facility. When LE arrived at the facility, R1 stated to LE that he/she wanted to harm himself/herself and was taken by LE to the hospital. ED/ADM stated after R1s hospitalization, R1 was transferred to a facility with a memory care vacancy.

At this time, this case in under review and department will conduct a follow up visit, if warranted.

No deficiencies were cited during today's visit based on California Code of Regulations (CCR) Title 22 and copy of the report was provided to ED/ADM Karina Nevarez.