Incident investigation·September 21, 2022

Licensing Program Analysts (LPAS) Celine De Perio and Albert Marin conducted an unannounced case management visit at facility to follow up on the incident reports (SIR) that occurred between two residents on 9/16/22 and 9/17/22. LPAs were greeted and granted entry by facility administrator (AD) Joel Niblett, Assistant Director Jackie Arreaga, and Clinical Director Jean Guevara. For today's visit, there are a total of 61 residents in care. LPAs De Perio and Marin conducted a tour of the interior portion of the facility with AD Niblett and toured resident #1's (R1) room and resident #2's room (R2) and conducted interviews with both residents. LPAs De Perio and Marin reviewed the files and Physician's Reports for R1 and R2 LPAs De Perio and Marin discussed California Code of Regulations Section 87466 Observation of the Resident. For today's visit, no deficiency was noted for areas observed. No citation was issued. LPAs De Perio and Marin conducted an exit interview with AD Niblett, Assistant Director Jackie Arreaga, and Clinical Director Jean Guevara, and a copy of this report, along with the regulation discussed was left in the facility.