Incident investigation·July 6, 2022

While conducting an investigation at the facility, Licensing Program Analysts (LPAs) Felias and Arnhold following up on two documents submitted by facility. Incident #1: LPA received an SOC-341 on 6/17/2022 regarding two residents that were in an altercation. Based on interviews and records reviewed, Facility staff responded immediately and were able to separate residents. Residents were escorted back to their houses with no further incidents. Facility has relocated the residents to prevent future altercations. Facility made all appropriate notifications per regulation. Incident #2: LPA received an incident report on 6/27/22 regarding an incident that occurred on 6/19/22. The incident involved a resident leaving the facility unassisted and without staff knowledge. A search was conducted, law enforcement was notified, and the resident was found nearby unharmed. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. ***An immediate civil penalty in the amount of $250.00 has been issued for a repeat violation of Health and Safety Code (HSC): Section 1569.312(d) . The civil penalty will continue to accrue $100 per day per violation until the violation is corrected. Exit interview conducted. Copy of report, LIC-809D, LIC-421FC and Plan of Corrections discussed and provided to Administrator. Signature on form confirms receipt of documents.