Incident investigation·September 22, 2023

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced subsequent Case Management - Incident visit to the above facility. The purpose of the visit is to conclude an investigation initiated by LPA during a Case Management- Incident visit conducted on 08/17/2023. The LPA was greeted by Staff Catalina Gonzalez and informed them of the reason for the visit. Office Manger Angelica Arambulo was unable to be at the facility during today’s visit and authorized Catalina Gonzales to sign and receive the report. The self reported Unusual Incident/Injury Report (LIC 624) pertains to an incident that occurred approximately the weekend of 8/07/2023 regarding Residents #1,2 and 3 (R1, R2, R3). On 8/17/2023, the LPA conducted interviews with two staff and four residents (R1, R2, R3, R4). The LPA interviewed the Office Manager Angelica Arambula throughout the visit. At 10:45 a.m. the LPA reviewed facility records and obtained copies of pertinent records. It was reported that staff (S1, S2) was witnessed hitting R1, R2, R3. On 8/17/2023 Office Manager Angelica Arambula stated that both staff had been suspended. Although a violation of Title 22 of the CA Code of Regulations was noted, the deficiency was cited on a separate report from a case-management visit on 9/22/2023. Exit interview conducted. Copy of report and appeal rights issued at the time of the visit.