Follow-up·September 22, 2023

On September 22, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case-management visit to follow up on a case management visit that was conducted on 6/6/2023. LPA met with Administrator, Scott Evans and explained the purpose of the visit. On 6/6/2023, LPA conducted a case management visit to follow up on two incident reports. On 5/31/2023, Licensee reported that S1 allegedly sexually abused Resident 1 (R1) and Resident 2 (R2) on 5/28/2023. These incidents were referred to the Department’s Investigation Branch. During the investigation, the Department’s Investigator conducted record review, reviewed R1 and R2’s files, conducted interviews and reviewed the police report. Based on the interviews conducted, S1 worked NOC shift on 5/27/2023 and was instructed to stay at the front desk and monitor call lights from assisted living residents due to lack of training. In addition, staff interviewed indicated that S1 was instructed that if a call light activated, S1 would radio or call the memory care caregivers to assist the resident. According to Staff 2 (S2), the Memory Care Director who was on shift the day of the incident, it was acknowledged that S1 and S2 checked on R1 at around 1:35am, however R1 did not need any assistance. Camera footage observed shows S1 entering R1’s room alone at 3:18am. S2 denied being with S1 during this time. Furthermore, when administrator, Scott Evans asked S1 if he/she had entered R2’s room, initially S1 denied this allegation, however changed his/her answer and admitted he/she did enter R2’s room. (CONT. TO 809C) During the investigation, it was also noted that S1 was disassociated from the facility on 01/12/2021. S1 required a criminal record exemption effective 10/29/2020 as the Department received additional or subsequent criminal record information and that S1 no longer has a criminal record clearance. S1 had failed to complete the exemption process putting residents health and safety in the facility at risk. Deficiencies cited today under the California Code of Regulations, Title 22, Division 6, follows on LIC 9099D. An immediate civil penalty in the amount of $500 for a violation resulting in death and serious bodily injuries. The Licensee was informed that additional civil penalties may be assessed. Report a reviewed with Administrator and a copy is provided with appeal rights. Civil penalties are also provided.