Facility Evaluation Report

LPA Jason Lund arrived at the above facility unannounced to complete a case management visit. LPA Lund met with Administrative Assistant Christian Jackson and explained the purpose of today's visit.

Community Care Licensing received a complaint for the facility on 8/3/2021 during the complaint investigation there was an incident with client (C1) that was brought to licensing attention. C1 had fallen in the front of the facility and broke C1’s arm. While C1 was at the hospital C1 caught COVID-19 and passed away. The facility never turned in Unusual incident/ injury report for the fall for C1 or death report for C1 passing away at the hospital.

During the investigation into the complaint on 8/3/2021 the facility had eleven in-house reports regarding client C2’s behaviors of touching people inappropriately. The facility management failed to turn Unusual incident/ injury report for the eleven incidents reports to Community Care Licensing (CCL) or the Local Police Department about C2’s behaviors.

Based on record reviewed, the following deficiencies were cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrative Assistant Christian Jackson and a copy of this report was provided along with confidential names list and appeal rights.