Facility Evaluation Report
On October 10, 2025, Licensing Program Analyst Manuel Monter conducted an unannounced Case Management visit to cite a deficiency that was inadvertently not cited on the previous visit. LPA met with Administrator Brad Mortensen . LPA explained the purpose of the visit.
On September 26, 2025, the Department conducted an initial visit to investigate the reported incident involving staff S1 physical abuse towards resident (R1), which occurred on October 18, 2024. Staff 1 (S1) employment was terminated October 21, 2024.
On October 3, 2025, LPA Monter provided a letter "Order to Licensee/Facility of Immediate Exclusion From Facility" That the department determine that S1 engaged in conduct inimical as a staff in the facility. ADM was informed to remove S1 from any contact with residents and S1 may not be physically present in any facility. ADM agreed and understood.
During today's visit, The Department issued citation under HSC 1569.50 (a)(3). S1's action towards R1 is considered Conduct inimical to the health, morals, welfare, or safety of residents in care
An exit interview was conducted with Administrator Brad Mortensen . Appeal rights was discussed and a copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction