Follow-up·July 27, 2022

Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced case management visit to this facility. During a complaint investigation conducted on 7/27/22, LPA discovered that the facility failed to report an Unusual Incident/Injury Report to Community Care Licensing (CCL) as required by Title 22 Regulations / Reporting Requirements. On 7/17/22, at approximately 5:50pm, there was an incident involving R1. S1 was on shift and conducting a walk through of the facility and checking on residents when S1 noticed R1 was smoking marijuana and drinking beer in the designated smoking area (back end of the facility). S1 also noticed a bag containing additional marijuana on top of the table, where R1 was sitting. S1 confiscated the bag containing the marijuana and locked it in the front office and reported the incident to facility management. The Pasadena Police Department was involved and conducted a visit on 7/18/22. During today's visit, LPA requested the Assistant Administrator to complete an Unusual Incident/Injury Report and submit a copy to CCL no later than the end of business day on 7/27/22. The following deficiency was observed to be in violation of California code of Regulations, Title 22, Division 6 (refer to 809D) An exit interview was conducted and a copy of this report was provided along with the Appeals Rights.