Incident investigation·June 27, 2022

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to this facility. LPA met with Administrator Foster (AD) Ringor and stated the purpose of this visit. On June 22, 2022, Community Care Licensing Division (CCLD) Orange Office received an incident report from this facility indicating that Resident 1 (R1) was observed to have a lump over the right eye. R1 was sent out for medical consult and came back to the facility on the same day. For this visit, LPA Marin toured the interior and exterior portions of the facility. LPA observed two staff members on the floor with 9 residents in common area and one in the bedroom. 5 residents were out of the facility attending respective day programs. LPA did a file review of R1's visit in the emergency department. LPA discussed with AD California Code of Regulations (CCR) Section 87466 : Observation of the Resident. For this visit, no citation was issued. LPA Marin conducted an exit interview with AD Foster Ringor. LPA left copy of this report and CCR 87466 in the facility.