Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Case Management-Incident inspection regarding a self reported Unusual Incident/Injury report. The LPA met with Executive Director Christian Castillo at 09:45 AM and explained the reason for the inspection. The ED had to leave during the visit, however designated Business Office Manager December Zavala to review and sign the report.

On 02/02/2025, Community Care Licensing (CCL) received a self reported Unusual Incident/Injury report regarding Resident 1 (R1) and a staff. It was reported that on 01/28/2026, R1 reported at the front desk that a caregiver allegedly hit them. R1 was asked by the Memory Care Manager (MCM) where were they hit? R1 stated, I don't know, thank you. When asked how they were hit, R1 stated with a voucher. It was further reported that a body assessment was done and no marks or discoloration were noted.

During today's visit the LPA interviewed the ED, R1, eight (8) additional residents, three staff including the alleged staff (S1), conducted a file review and collected pertinent documents. Interview conducted with R1 reflected that R1 feels safe at the facility, stated that the facility staff is great and R1 was not able to provide clear information regarding the incident. When asked if any staff has ever hit them, R1 stated "she was going to hit me," and when asked who? R1 replied "I don't know". File review revealed that R1 is diagnosed with Dementia. Interviews conducted with the eight additional residents revealed that residents are happy and feel safe in the care of the staff and have never observed staff hit any resident. Interview conducted with S1, revealed that they denied ever hitting or speaking inappropriately to R1.

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