Follow-up·May 24, 2022

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced case management visit. LPA identified herself and stated the purpose of the visit with Executive Director Divinia Nunez and Health Services Director Stefanie Ancheta. The facility self-reported two incidents. The first incident was regarding Resident 1(R1) and was reported to Community Care Licensing on May 23, 2022. The facility reported that on May 22, 2022, R1 left the facility grounds in a vehicle (AWOL) and was returned to the facility by police that same day. The second incident was regarding Resident 2 (R2) and was reported to Community Care Licensing on May 23, 2022. The facility reported that on May 21, 2022, R2 was having difficulty swallowing. R2 was sent out to emergency care and a small object was found in the throat. On today’s date, LPA toured the facility and conducted a health and safety check. LPA briefly interviewed the Executive Director Divinia Nunez and Health Services Director Stefanie Ancheta, and requested copies of facility records. No immediate health and safety concerns were noted and no deficiencies were cited at this time. An exit interview was conducted with the Executive Director Divinia Nunez , to whom a copy of this report and the LIC9058 Licensee/Appeal Rights were printed and provided at the facility.