Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted a subsequent case management visit to deliver an amended report with the finding for the above allegation. The report was initially issued on 03/08/2024 with an Unsubstantiated finding, however, upon further Department review, the finding is amended to Substantiated. LPA met with Executive Director David Scarlett and explained the reason for the visit.

On 11/18/2023, the Department received a Report of Suspected Dependent Adult/Elder Abuse Report from the facility. The report advised on 11/18/2023, Resident #1’s (R1) family member/Suspected Abuser (SA) was observed with their penis in R1’s mouth. On 11/20/2023, the Department referred the case to the Community Care Licensing (CCL) Investigations Branch (IB). The case was assigned to Investigator Christine Ferris to conduct the investigation in reference to the allegation.

On 11/20/2023, from 1:50pm to 3:30pm, Licensing Program Analysts (LPAs) Elsie Campos and Emily Peraldi conducted an unannounced Case Management - Incident visit. At 1:55pm, LPAs Campos and Peraldi met with Administrator, Amber Winterstein and explained the reason for the visit. The reason for the visit was to follow up on a self-reported incident report received on 11/20/2023. The report pertained to a personal rights violation of Resident #1 (R1). At 1:58pm, the LPAs conducted an interview with the Administrator. At 2:06pm, the LPAs obtained copies of pertinent documents. At 2:55pm, the LPAs along with the Administrator conducted a physical plant tour. No immediate health and safety concerns were observed during the inspection. The LPAs determined further investigation was needed and informed the Administrator that the investigation was assigned to the Community Care Licensing (CCL) Investigations Branch (IB).

Report will continue on LIC809-C, 2nd page.