Community Care Licensing

Document Has Been Signed on 12/24/2024 06:17 PM - It Cannot Be Edited

FACILITY NAME:	HORIZON DAY PROGRAM		FACILITY NUMBER:	392700577
ADMINISTRATOR/ DIRECTOR:	CHRISTOPHER YARRUHS		FACILITY TYPE:	775
ADDRESS:	2200 N EL DORADO ST		TELEPHONE:	(209) 932-9199
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95204
CAPACITY: 60		CENSUS: 0	DATE:	12/24/2024
TYPE OF VISIT:	POC	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:15 AM
MET WITH:	Elinore Ramas		TIME VISIT/ INSPECTION COMPLETED:	11:45 AM

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Licensing Program Analyst (LPA) Albert Johnson conducted a follow-up on a SOC 341 and complete a plan of correction confirmation. The event was reported as follows: R1 was sitting in his wheelchair outside of the restroom waiting for his turn to use the non-ambulatory restroom. R2 walked up to R1 unprovoked and punched him across the face with a closed fist hitting him on the left cheek. R1 grabbed his face and began yelling and pointing at staff to come help him LVN assessed R1's face. Face was red with mild swelling. No medical treatment was needed aside from ice. The facility was advised to contact law enforcement when a resident is assaulted by another resident. The following deficiencies, initially cited during a visit on 04/24/2024, have been cleared: Section Cited: 82075(b) Date Due: 04/25/2024 Plan of Correction: Med tech will receive an in service training regarding medication administration and expiration dates Corrections: Cleared Clearance Date: 12/24/2024 Exit interview conducted

SUPERVISORS NAME: Lisa Rios LICENSING EVALUATOR NAME: Albert Johnson LICENSING EVALUATOR SIGNATURE: DATE: 12/24/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/24/2024