Follow-up on corrections·November 21, 2024

On 11/21/2024, Licensing Program Analyst (LPA) M Vega conducted an unannounced case management at 1540 hours. LPA met with Health and Wellness Director Nancy Pultz . Licensee John Earley was contacted by phone and arrived a short moment after. The purpose of this visit is to deliver the finding of review completed by the Department. LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility. On 08/16/2024, the Department received a complaint and conducted the investigation. During the course of investigation, it was discovered that staff failed to supervise resident (R1) while in care. On 07/22/2024, R1 was found deceased in an empty field adjacent to the facility. The last time staff saw R1 was at approximately 1600 hours. Staff failed to notify anyone until approximately 2115 hours. According to Physician’s Report, R1 was diagnosed with Dementia. R1 was not able to leave the facility without staff escort or supervision due to R1’s cognitive impairment. Staff admitted they never supervised R1 outside of the facility. Based on the review conducted by the Department and information gathered, the following deficiency was cited on LIC 809-D per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8. An immediate civil penalty of $500.00 was issued and a copy of the LIC 421IM was given to Licensee John Earley. At the time of the case management on 11/21/2024, licensee was informed that a future civil penalty may apply based on Health and Safety Code § 1569.49. An exit interview was conducted, and a copy of this report dated 11/21/2024, along with licensee. Appeal Rights (LIC 9058) was provided to Licensee John Earley whose signature below confirms receipt of these rights.