Facility Evaluation Report

Licensing Program Analyst, Kesha Lewis arrived on [month day, year] for an unannounced inspection to follow up on a self-reported incident which resulted in a case management visit. LPA explained the purpose to the staff and administrator, WEST, MARISSA

On 04/11/2024, the facility reported to CCL that a resident was stabbed by another resident. The Department has concluded an analysis of the incident which included interviews with staff, residents, the administrator, and Stanislaus County sheriff’s department and has determined that Mar-Ric Care home failed to verify that R2'S Physician’s Report was completed and documented, “able to leave facility unassisted”, resulting in R2 leaving the facility unsupervised, obtaining a dagger and stabbing R1 in the chest.

The following deficiencies were observed (see LIC 809-D) and cited from the California Code of Regulations, Title 22. A civil penalty in the amount of $500 is being issued on today's visit for Neglect/Lack of Care and Supervision which resulted in R1 assessing the community without supervision, obtaining a dagger and using it to injure another resident. Failure to correct the deficiency may result in additional civil penalties. At the time of the complaint visit, the issuance of a Civil Penalty was still being determined and the licensee was informed that a civil penalty might be assessed based on Health and Safety Code § 1548(f)(1)(A). Appeal rights were provided. Exit interview conducted with WEST, MARISSA . Copy of the report was provided to the Administrator WEST, MARISSA and appeal rights were received.