Follow-up on corrections·November 27, 2023

Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced Case Management - Deficiencies visit. LPA was greeted by staff Micaela Orozco . LPA requested staff contact administrator via telephone. The administrator Rita Morales informed LPA she would not be able to meet LPA at the facility. LPA explained the purpose of the visit. LPA reviewed the facility's Plan of Operation, facility's Plan of Operation did not have a plan that address the needs of residents with Dementia . Administrator designated staff Micaela Orozco to sign this report. This report is being generated to address the deficiency observed. During the annual inspection on 10/16/2023 LPA reviewed resident files. While reviewing residents physician's reports and hospice documents LPA observed that two (2) out of the six (6) residents have a diagnosis of dementia, however licensee does not have an approved Plan of Operation that address the needs of residents with dementia . While speaking with administrator on 11/27/2023 LPA was informed that the facility has admitted residents who have a dementia diagnoses in the past. A brief discussion was held with the administrator regarding the requirements of admitting and retaining residents who have a diagnosis of dementia. According to the administrator, Licensee has been in business for a long time and has not run into this situation and no issues were brought up to the Licensee during the application process for the license. According to administrator the licensee will work on the program and send it to LPA in the next 24 hours. Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited: (Refer to LIC 809-D) Exit Interview Conducted Copy of Appeal Rights and Report provided.