Follow-up·October 7, 2024

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct a case management visit in order to amend a complaint investigation. On 8/21/2024, LPA delivered findings from a complaint investigation regarding the allegation that Staff are restricting access to the residents. LPA did not find evidence to support this allegation, but did learn that a code to an emergency gate was changed and staff nor the fire department were informed of the new code for approximately 2 days. LPA spoke with Executive Director Roger Endert about the code change and was informed the code was changed due to a staff using the gate as a convenient entry to memory care. Upon learning of this use, Roger had the code changed to prevent this use, but did not immediately pass the information on to staff or the Fire Department. During today's visit, LPA spoke with Roger and was informed the code was changed again and all staff were informed as well as the Fire Department. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Roger Endert and Appeal rights were given.