Follow-up on corrections·January 3, 2024

On 1/3/24 LPA Jensen conducted an unannounced visit to continue a complaint investigation in to complaint control number 27-AS-20231122163414. LPA Jensen observed a deficiency while conducting the complaint investigation and conducted a case management to address the concern. LPA Jensen met with Resident Care Director Angelica White and explained the purpose of the visit. While reviewing records for complaint control number 27-AS-20231122163414 LPA Jensen reviewed an admission agreement for Resident 1 (R1). The admission agreement states that under Part C - Change of Service Plan, on page 13: ...We will preform regular Resident Assessments of your needs. If we determine , in consultation with you, your family and/or your physician, that you need a modification of the service plan that you are currently receiving at Foothill Village, and we provide this service, you agree to change to a level of service that is appropriate to your needs. The rates for services, as set forth in Appendix A, shall apply immediately. LPA Jensen reviewed Appendix A and observed no rates to be set forth. Section II - Schedule of Care Fees is crossed out and no monetary values are listed. Deficiencies are being cited pursuant to the California Code of Regulations (CCR), Title 22, Division 6. Failure to correct deficiencies may result in the assessment of Civil Penalties. An exit interview was conducted and a copy of this report and appeal rights were given