complaint·December 14, 2022

On the allegation that the ‘Facility is operating out of ratio’, the Reporting Party’s (RP) concern is that the facility is serving more residents than it is licensed to serve. The facility is licensed to serve six (6) residents. The facility’s record review revealed that eight (8) residents were admitted, and living at the facility from 10/18/2022 to 12/06/2022. One resident left on 12/06/2022, and another resident left the facility on 12/09/2022. The LPA interviewed residents' responsible parties, and the interviews revealed that the eight (8) residents were living at the facility between the months of October 2022 and December 2022. The LPA interviewed the administrator, and the interview revealed that eight (8) residents were admitted to the facility, and were residing during a specific time of period between 10/2022 and 12/2022. On 12/06/2022, during a Case Management Deficiencies visit, the facility was cited Pursuant to Title 22 of the CA Code of Regulations: 87204-(a) A licensee shall not operate a facility beyond the condition and limitations specified on the license, including specifications of the maximum number of persons served who may receive services at any one time. Therefore, based on the records review, and interviews, the allegation that the ‘Facility is operating out of ratio’ is deemed to be Substantiated at this time. No additional citations were issued at this time. Exit interview was conducted with the Administrator. A copy of the report was issued.