Facility Evaluation Report

Licensing Program Analysts (LPAs) Cuadra and Stevenson conducted a case management visit to cite deficiencies discovered during a complaint investigation and met with Assisted Living Director, Veronica De Leon.

LPA learned through records review and interviews that facility staff did not submit incident reports to the Department after incident of resident (R1) had a bruise on their left eye. According to facility narrative charting the facility reached out to R1’s physician on 10/1/24 after noticing R1 had a discoloration on their left eye and next day there was an appointment for x-rays to be done. LPA was unable to find any incident reports made to the Department about this incident and no further details were documented regarding any investigation been conducted by the facility.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted with Assisted Living Director and a copy of this report was given.