Follow-up·October 12, 2023

At 09:30am, Licensing Program Analysts (LPAs) Angela Panushkina, Huma Rahimi, Leslie Ngo-Castaneda and Gina Saucedo conducted an unannounced Case Management Visit. The team met with the Administrator and explained the reason for the visit. On 12/01/22, an informal meeting was held at the Regional Office (RO) with the Administrator and concerns from Complaint #31-AS-20220210102557 were addressed. At that time, Regional Manager (RM) and Licensing Program Manager (LPM) advised the Administrator to conduct thorough pre-admission appraisals and complete staff training on Basic Services. The purpose of todays visit is to review all resident and staff files for an accuracy. Team was informed that the facility currently has five (5) residents. Facility also has three (3) staff members, but during today's visit the team observed one staff member (S1) on duty. The team checked the Licensing Information System (LIC) and observed that S1 is associated with this facility and the fingerprints are cleared. Resident Files: At 9:45am team conducted resident and staff records review. The following was observed. Five (5) out of five (5) resident file were either not available and or incomplete. Files were missing TB test results for four (4) out of five (5) residents, ID Emergency Sheets, and personal rights. Resident appraisals that were in the file did not have services explained and were missing signatures from the resident, and or responsible party. Please see LIC858 included with this report. Staff Files: Administrator stated that the facility currently has four (4) staff members. However, none of the staff members had a facility file available for review. Therefore, the following deficiencies are issued per CA Code of Regulations, Title 22. See LIC809-D. Exit interviewed discussed, appeal rights explained and copy of this report signed and delivered.