Incident investigation·April 5, 2024

This report is being amended to complete the visit for 04/05/24 to update the original date recorded, the POC and correct verbiage. On 04/05/24 Licensing Program Analyst, (LPA) Renee Campbell made an unannounced case management visit to this facility. This visit was prompted by a fax from the Assisted Living Director (ALD), Melina Nunez who notified Community Care Licensing (CCL) about an alleged case of verbal abuse. LPA Campbell identified herself upon arrival and asked to speak with the ALD. LPA Campbell met with Melina Nunez, who is the Assisted Living Director and the Designated Facility Administrator and a brief interview followed. Over the course of the investigation, LPA Campbell interviewed staff and reviewed the report from the reporting party. Staff reported that S1 used an elevated volume and inappropriate tone with R1. Staff interviewed did not report abusive language was used. Based on interviews with W4, S3, S1, S2, W2 and W3, LPA Campbell found that there was a preponderance of evidence to support a violation of personal rights. Per California Code of Regulations (CCRs) - Title 22, Div.6, Ch. 8, a Type B deficiency is being cited on the attached 9099D during this visit. If any deficiencies are not corrected by the noted due dates; civil penalties may be assessed. A copy of their rights was provided (LIC9058) and their signature on this form acknowledges receipt of these rights. An exit interview was conducted, and a copy of this report was provided.