Incident investigation·September 6, 2024

On 09/06/2024, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct a case management inspection. LPA met with Resident Services Director Eva Reiter and announced the purpose of the inspection. Executive Director Billy Mitchell was no longer with the company and was not available to assist with the visit. The purpose of the inspection was to follow-up on an incident which occurred on 08/12/2024. On 8/12/2024, care provider (CP1) was sharing with resident (R1) inappropriate videos of himself engaging with intimate contact with an unknown female. CP1 was suspended on 08/12/2024 pending investigations. Responsible party of R1 was not notified of the incident due to resident request. Staff was terminated on 08/30/2024. Per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, the following deficiency was observed and cited on the attached LIC 809-D. Failure to correct the deficiency may result in civil penalties. An exit interview was conducted, and a copy of this report provided to the licensee via email. Appeal Rights (LIC 9058) were provided to the licensee. Exit interview conducted, report signed and copy of this report provided for facility records.