Incident investigation·May 27, 2025

On 05/27/25, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to conduct a case management investigation regarding an SOC 341 for an incident that occurred on 05/22/25. LPA identified herself upon arrival, stated the purpose of the visit, and asked to meet with the Designated Facility Administrator/Executive Director (ED). LPA met with Designee, Marlene Bremer, and a brief meeting followed. LPA requested LIC 308 listing Bremer as the Designee. A resident (R1) in memory care reported to staff that someone had slapped them across the face. The facility self reported to Community Care Licensing and the Ombudsman regarding the allegation. The Ombudsman interviewed the Executive Director regarding the allegation and was told that the facility had launched an internal investigation and was obtaining statements. Ombudsman provided consultation regarding details to be provided on the SOC 341. LPA collected an LIC 500 with staff contact information and requested the following documents for R1: Admissions Agreement Care Plan LIC 602 LIC 624s for the past 6 months Care notes from 3/27/25 - 5/27/25 For S1: Personnel Record Training documentation Schedule for April and May 2025 Any disciplinary notes to their file. Due to time constraints, this LPA will return at a later date to continue with this case management investigation. According to the California Code of Regulations, Title 22 there were no deficiencies cited during today's visit. A copy of this report was provided. Exit interview.