Facility Evaluation Report

Orangeburg Manor, Modesto04/03/2024Licence 502700869

Capacity90
Census39
Date signed04/03/2024 02:33:50 PM
The inspector’s account

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to do a case management visit. LPA Lund met with Executive Director Jennifer Whiteley and explained the reason for the visit. Census: 39

LPA Jason Lund received an Unusual Incident/Injury Report (LIC 624) on 3/25/2024 from the facility stating that resident (R1) eloped from facility on 3/23/2024. R1’s LIC 602 dated 1/3/2024 states that R1 cannot leave the facility unassisted.

Per California Code of Regulations, Title 22, the following deficiencies, and immediate civil penalty have been issued for repeat violation.

Exit interview conducted and report provided. Appeals rights printed.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction