complaint·July 7, 2021

Allegation: Residents are not notified to participate in their appraisal needs and services plan. During today's visit, LPAs interviewed the Assistant Administrator (S-1), Facility Administrator (S-2), Licensed Vocational Nurse (S-3), Activities Director (S-4) and Housekeeper (S-5). LPAs also interviewed Resident #1 (R-1) to Resident #5 (R-5) and reviewed Residents files. Staff interviews revealed that appraisal needs and services plans are developed by staff reporting directly to the Facility Administrator and/or the Assistant Administrator of what each Residents needs are. Staff interviews revealed that appraisal needs and services plans are not developed with the Residents being present. Staff interviews revealed that appraisal needs and services plans are developed and provided to the Residents by the Facility Administrator and/or Assistant Administrator after the development of the appraisal needs and services plan for review and signature. Resident interviews revealed that they were not aware nor have they participated in a appraisal needs and services plan meeting. Staff and Resident interviews corroborate this allegation. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiency as per California Code of Regulations, Title 22, Division 6 & Chapter 8, are being cited on the attached LIC 9099D . An exit Interview was conducted with the Administrator, a copy of this report and Appeal Rights were provided