Incident investigation·May 1, 2025

On 5/1/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a case management visit follow up on an incident reported to the Department on 4/24/2025 regarding a resident who slipped and fell in their room and injured themselves. LPA Calandra was greeted by David Nelson, Clinic Manager and explained the purpose of visit. Through document review and interview, LPA learned that R1 who lives in independent living fell on 4/17/2025 and injured themselves. R1 contacted a family member who contacted the facility to inform them of the fall and staff responded promptly. Community Care Licensing Division(CCLD)/California Department of Social Services(DSS) does not provide oversight into the independent living portion of the facility. During the visit LPA reviewed and obtained copies of the following documents: - R1's physician report -R1's Appraisal of Needs and Services No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with David Nelson, Clinic Manager and a copy of the report left at the facility.