Follow-up on corrections·December 6, 2022

On 12/06/2022, Licensing program Analyst (LPA) Sandra Urena, conducted an unannounced Case Management-Deficiencies inspection visit at 3:10 p.m. due to deficiencies observed during the investigation of complaint control # 29-AS-20221205152932. The LPA met with Administrator Nirvana Ghaemi, and explained the reason for the visit. At 10:17 a.m., LPA Urena, and the Administrator conducted a tour of the facility. During the tour, it was observed that two (2) residents occupied bedroom#1, two (2) residents occupied bedroom #2, two (2) residents occupied bedroom #6, and one (1) resident occupied bedroom #5. Total number of residents was observed to be seven(7). The facility is licensed for a capacity of six(6) residents. The Administrator stated that the resident in bedroom #5 was fingerprinted, and was associated to the facility as an employee. The resident in bedroom #5 is not related to the Administrator or the licensee. The resident was not observed acting as an employee of the facility. Record review revealed that the resident in bedroom #5 was admitted as a resident to the facility on 9/16/2022, based on the Admission Agreement found on file, and the resident's POA is paying a board and care fee to the licensee. The resident passed away during the case management visit, consequently the licensee will not be required to inform the Fire Department of the over capacity. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Citations were issued. Exit interview conducted, today's report, and appeal rights were reviewed and issued.