Facility Evaluation Report

On April 10, 2024, Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced case management-Incident visit regarding an incident report on April 10, 2024 . LPA met with Administrator Maria Lorenzo Marquez and explained the purpose of the visit.

On April 10, 2024, the Department received an incident report stating on April 9, 2024, the ADM was notified by staff that another staff member had allegedly abused a resident.

LPA interviewed 1 staff and requested a copy of S1's files. LPA requested copies of R1 and R2's physicians report, face sheet, and needs and services plan. (Due to facility printer ink being low, LPA requested ADM email the documents to LPA.)

While reviewing the facility personnel Report summary (LIS536), LPA observed staff S1 was not associated to the facility. LPA searched S1's name on Guardian, and observed S1 was not associated to the facility. ADM confirmed and stated S1 was not associated to the facility.

Deficiencies are being cited per California Code of Regulations, Title 22. See LIC809-D. A civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500) for S1 working in the facility without association.

A deficiency is being cited during todays visit. Exit interview conducted with Administrator Maria Lorenzo Marquez and a copy of the report and appeal rights were provided.