Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter arrived unannounced to open a complaint investigation. During the complaint investigation, a case management deficiencies visit was conducted due to violations discovered during the investigation process. LPA met with Administrator Anabelle Ablan.

While investigating the complaint, 26-AS-20240416133846, ADM stated resident R1 had a fall on March 26, 2024, R1 had sustained a fall, which required stitches.

Based on a review of R1's after visit Summary, dated March 26, 2024, R1 was seen for wound care-closed with stitches.

Based on facility file review, the facility did not send an incident report for this fall.

A deficiency is being cited per California Code of Regulations, Title 22. See LIC809-D. Exit interview was conducted with Administrator Anabelle Ablan. Appeal rights were provided.