Follow-up on corrections·January 31, 2023

At 11:05 a.m. on 01/31/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with the Administrator and disclosed the reason for the visit. At 3:30 p.m. on 12/01/2022, a Non-Compliance Conference was held at the Woodland Hills-South Regional Office to discuss complaint #31-AS-20220210102557 and other facility deficiencies. Attendees included Licensee Sylvia Jackson, Regional Manager (RM) Angela Kendrick, Licensing Program Manager (LPM) Cassandra Harris, and Licensing Program Analyst (LPA) Nicholas Reed. The conference was later changed to an Informal Conference. LPM, LPA, and Licensee discussed the nature of the allegation of neglect. All parties agreed the allegation was not appropriate for the deficient facility practices. Therefore, the allegation was successfully appealed and dismissed. The facility deficiencies are addressed during today’s case management visit. Resident #1 (R1) was admitted to the facility on 11/14/2020 and was sent to West Hills Hospital on 11/23/2020 after R1 was found unresponsive. During the 12/01/2022 Informal Conference, the Administrator noted the facility should have performed a more complete preadmission appraisal to identify R1’s pressure injuries prior to admission. Additionally, resident files stored at the facility were incomplete. The deficiencies are addressed on the following LIC 809-D page. Exit interview conducted. Copy of report issued. Appeal Rights discussed.