Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Casey Clark. The purpose of the visit was to cite the facility for an incident involving a staff physically abusing a resident.

On 04/10/2024, the Department received an LIC624 Unusual Injury/Incident Report from the facility stating that S1 physically abused R1 by punching R1 in the face, causing R1 to sustain an injury to R1’s right eye.

A Department investigator investigated the incident. During the investigation, resident R2 provided credible statements about witnessing S1 punch R1. R2 observed S1 punch R1 three times in the outside patio, three times in the hallway, and once in R1’s bedroom. Based on interviews with staff, R2 does not lie and has been truthful about the past.

R1 was shown three photographs of three staff members and was asked which staff committed the assault on R1. R1 pointed to the photograph of S1.

Deficiencies have been cited as per California Code of Regulations Title 22. See LIC809-D page for more information. This report was reviewed with Casey Clark and a copy of the report and appeal rights were provided.