complaint·October 17, 2022

After subsequent discussions between staff and the responsible party, the Level was changed back to a Level One (01). During interviews with the responsible party, they stated they are at the facility often, the resident is able to manage some of their own medications, staff are not checking on the resident as needed, staff increased the level of care from a Level One (01) to a Level Two (02) because the RP was no longer able to visit as often and that both they and the resident’s physician were not notified of the change from a Level One (01) to a Level Two (02) in writing. Although Level Two (02) services may or may not have been provided, record reviews revealed that the resident’s Responsible Party AND physician were not notified in writing about the change of the resident's needs and/or condition that resulted in a change of the level of care. Therefore, based on record reviews, the allegation is substantiated at this time. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D): No health and safety hazards observed during the visit. Exit interview was conducted and a copy of report was issued.