Follow-up on corrections·March 19, 2025

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to follow up on an incident reported to Community Care Licensing. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Executive Director (ED) Wes Hebner. Community Care Licensing received an Incident Report on 3/10/25 in which it was reported that Resident #1 (R1) was observed by staff to have irritation and redness on the face. The resident's relative reported that R1 had washed their face with Ajax cleaning solution left in their bathroom, thinking it was soap. R1 resides in the Memory Care unit of the facility. R1 was taken to urgent care by their responsible party, where they received treatment. R1 has two (2) follow-up appointments scheduled with their Primary Care Physician (PCP). Per the Incident Report, the Ajax solution was immediately removed from R1's room and spot checks were conducted. Upon interview with ED Hebner, the cleaning solution had been left by housekeeping staff either the morning of the incident or evening prior. During today's visit, LPA consulted with ED Hebner and conducted a health and safety check with R1. A deficiency was cited during the visit. An exit interview was conducted with Business Office Manager Jennifer Flores to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.