Follow-up on corrections·January 17, 2024

Licensing Program Analyst (LPA) Angela Panushkina conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20240110162135. LPA met with the Administrator and explained the reason for the visit. During the visit, S1 informed LPA that S2 started working at this facility on 01/13/2024. LPA conducted review of Licensing Information System and did not observe S2's association to this facility. LPA informed the Administrator that all staff members must be fingerprint cleared and associated prior to employment. Moreover, S1 informed LPA that R1 was hospitalized in December 2023 (discharged on 12/26/23) and hospitalized again on 01/09/24. LPA reviewed all incident reports on a system and did not observe an Incident Report regarding R1. In addition, the Administrator admitted that no incident was submitted to the Community Care Licensing Department (CCLD) in a timely manner. Based on Title 22 Regulation: a written Unusual Incident / Injury Report shall be submitted to CCLD within seven (7) days of occurrence. LPA informed the Administrator that all staff members are mandated reporters and they are all responsible for reporting. LPA informed the Administrator to submit the following two (2) incidents that occurred on: 12/21/23 01/09/24 Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D. Exit interview conducted, appeal rights and copy of report signed and delivered.