Office review·August 26, 2021

An Informal Conference was conducted today in the Woodland Hills Adult and Senior Care Regional Office. The purpose of this Informal Conference is to discuss deficiencies cited during a required annual visit on 8/10/2021, specifically to discuss the LPA’s observation during the visit where a resident was locked in bedroom #2; the doorknob was tampered with so the resident could not exit the room. In attendance included Licensing Program Manager Jeralyn Pfannenstiel, Licensing Program Analyst Salia Walker, and Administrator Vahe Mkrtchian. Brief History: The facility was first licensed in 9/19/17, for a capacity of six residents. LPM Pfannenstiel and LPA Walker discussed unsubstantiated complaint allegations from the past three years related to personal rights violations from 1/4/2018, 5/18/2018, 4/15/2019, 9/25/2020, and 1/7/2021. LPM and LPA communicated that the Department has received the Plan of Corrections in a timely manner, which included documentation for staff association, and photographs of proper doorknob. LPM Pfannenstiel discussed how the Administrator plans to stay in compliance and the best ways to work with the Department and Regional Center for additional support and assistance. The Administrator stated that the facility now has rotating staff to ensure sufficient staffing is available. The Licensee was informed that Community Care Licensing (CCL) shall continue to monitor the facility with annual facility inspection visits and as often as necessary to ensure the Licensee's compliance with Title 22 Regulations. The Licensee was also informed that further citations and/or non-compliance may result in a Non-Compliance Conference with the Regional Manager. Exit interview conducted and copy of today's report was provided to the Licensee.