Follow-up on corrections·February 13, 2024

Licensing Program Analysts (LPAs) Kelly Dulek and Valeria Conway conducted an unannounced Case Management visit to address deficiencies observed during an unrelated visit at the facility today. LPAs met with Administrator Jennifer Fernandez. Entrance interview conducted. During today's visit, LPAs interviewed Administrator beginning at 10:07AM and at various times throughout today's visit, toured the facility beginning at 11:00AM, spoke with the Licensee over the phone at 11:31AM, and LPAs reviewed resident files. During facility tour, the LPAs observed Staff #1 (S1) residing in the facility. Interview with Licensee revealed that S1 has been employed and residing in the facility since October or November 2023. However, review of Guardian showed S1 does not have a fingerprint background clearance. S1 indicated they had not completed their fingerprints as of today's date. Additionally, interview with Administrator revealed that there had been 2 other residents at the facility. Both Resident #1 (R1) and Resident #2 (R2) were on hospice and had passed away on 12/23/2023 and 01/14/2024, respectively. Review of documents sent to the Woodland Hills Adult and Senior Care Regional Office (RO) revealed that no death reports, incident reports, nor hospice notifications have been received at the RO since the facility opened. Interview with Administrator confirmed she did not send such reports to the RO. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies are cited (refer to LIC 809-D.) Civil penalty issued in the amount of $500. Administrator was informed that failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.