Follow-up·February 5, 2025

On 02/05/2025 around 01:35 PM, LPA amended complaints 15-AS-20241223152240 and 15-AS-20241223091751 to update the continuation pages. Executive Director (ED), Annemarie Domizio suggested that Licensing Program Analyst (LPA) L. Holmes meet with Claudia Ridditt, Director of Business Administration (S1) due to ED's time constraints. LPA interviewed S5 to review the coding for the Medication Administration Records (MAR) and confirmed there will be initials for administration of medication, an 'X' or a blank space with progress notes for an explanation. On 01/21/2025, LPA requested ED provide proof that Residents (R2, R3, R4, R5) and their responsible parties were provided with a current incontinence care plan for the plan or correction on complaint 15-AS-20240917163033. On 01/28/25, LPA received the POC for training and updated care plans; however there were not any emails, faxes, or signed incontinence care plans from residents and RPs to confirm they were aware of the updates; during the visit, S1 and LPA reviewed signed copies for R1 and R3. S1 stated that they were awaiting the signed electronic documents from R5, and R2 had passed away. - Around 3:15 PM, LPA requested a Death Report (LIC624A) that revealed R2's date of death was 01/02/2025 and was reported to Community Care Licensing (CCL) 01/21/2025. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted, a copy of the appeal rights, and this report provided Claudia Redditt, Director of Business Administration (S1)