Follow-up on corrections·November 1, 2023

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced Case Management - Deficiencies inspection. At 10:55 a.m., the LPA met with staff and explained the reason for the visit. At 12:34 p.m., the Licensee Akhtar Roshanaeian arrived at the facility. The reason for today's inspection is to follow up on a self-reported incident dated 10/18/2023. The report pertains to the absent without official leave (AWOL) of Resident #1 (R1). On 10/17/2023, R1 left the facility despite caregivers attempting to redirect R1. The Administrator at the time notified R1’s family and the police. At the time of the visit, R1 still has not been located but the family are aware of the AWOL. At 11:30 a.m., the LPA conducted a record review of resident records. At 1:30 p.m., the LPA, along with the Licensee conducted a brief physical plant tour. During the time of the visit, the LPA requested copies of pertinent documents. Prior to visit, the LPA printed out the facility personnel report summary from the Licensing Information System (LIS). Upon arrival, it was revealed Staff #1 (S1) was recently hired. Per record review, conducted by the LPA on the Guardian Background Check System website, S1 does have fingerprint clearance but is not associated with this facility. Interviews with the Licensee and staff revealed that S1 started working at this facility on 11/01/2023. The Licensee stated that she will ensure that all staff will have a criminal record clearance and are associated to the facility prior to working at the facility. During record review the following was noted: R1, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4) did not have resident files nor completed files available at the facility. Per incident report, R1 was admitted to the facility on 10/10/2023. R2 was admitted to the facility on 09/12/2023, R3 was admitted to the facility on 09/15/2023 and R4 was admitted to the facility on 10/31/2023. The Licensee stated that she will ensure that all residents will have completed files. Continued on LIC 809-C. Pursuant to Title 22 of the California Code of Regulations Division 6, Chapter 8, the following deficiencies were cited (refer to LIC 809-D). Civil Penalties assessed in the amount of $100. Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted. A copy of today's reports and appeal rights were provided. Civil penalties issued. An additional report may follow if warranted.