Follow-up on corrections·February 17, 2026

Licensing Program Analyst (LPA) Angela Panushkina, conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20260210201358 . LPA met with the Administrator and explained the reason for the visit. During the visit, LPA was informed that R1 had an unwitnessed fall on 02/04/26 and refused to go to the hospital. Additionally, on 02/07/26 R1 called for an assistance and requested to be taken to the hospital due to right hand pain. However, no incident report was submitted to the Community Care Licensing Department (CCLD) in a timely manner. LPA reviewed all incident reports on a system and did not observe an Incident Report regarding R1. In addition, the Administrator and Wellness Director admitted that no incident was submitted to the Regional Office (RO). Based on Title 22 Regulation: a written Unusual Incident / Injury Report shall be submitted to CCLD within seven (7) days of occurrence. LPA informed the Administrator that all staff members are mandated reporters and they are all responsible for reporting. LPA informed the Administrator to submit an incident report (for R1) that occurred on: 02/04/2026 (fall) 02/07/2026 (hospital visit) Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D. Exit interview conducted, appeal rights and copy of report signed and delivered.