Follow-up·February 8, 2024

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of conducting a case management to follow up on SOC341 along with a self-incident reports and met with facility Administrative Assistant, Charito Santos. On 2/5/24 at approximate 5:30pm staff (S1) called 911 due to a resident (R1) was making threats to shoot S1 and burn the facility. The incident started when S1 asked R1 if they could wash their beddings and R1 replied ok, then S1 noticed trash in a small bag, R1 took the trash bag, but R1 approached S1 requesting the trash bag back to them. They both went back to R1's bedroom to search for the bag when they couldn't find it, R1 told S1 the following: "I will get a gun and shoot you and will burn down this facility". The police officer arrived and file a case report #240360217. The facility notified responsible parties including CCL. During today's visit, LPA reviewed records and conducted interviews with staff. Per S1, R1 apologized to them after the incident. R1 also had an appointment to see their physician on 2/7/24 at 1pm, but the appointment was postponed until unknown date. Per Charito, the facility is in the process of issuing a 30-day eviction notice to R1 due to the threats to the facility including residents in care. The Department will review documents received. No deficiencies during today's visit. Exit interview was conducted with Administrative Assistant and a copy of this report was given.