complaint·March 18, 2024

The investigation revealed the following: Regarding the allegation "Staff tried to change resident's hospice care plan without proper authorization". It has been alleged that one hospice provider was requested not to return to the above-mentioned facility. Interviews revealed that two (2) out of 2 staff members have agreed that one worker was requested not to return to the facility. LPA's record reviews revealed that the facility does not contain a written hospice care plan for resident one. According to the terms and conditions of the hospice waiver, approved on 09/17/2021, section 6 is stated as follows: "Prior to the initiation of hospice services in the facility, the licensee will ensure a written hospice care plan is developed for each terminally ill resident or prospective resident, that specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility by that resident’s hospice agency, and agreed to by both the licensee and the resident or prospective resident or the resident’s or prospective resident’s Health Care Surrogate Decision Maker.". The facility was unable to provide a copy of any incident report(s), LIC624, of the incident; which has been mandated by the reporting requirements of the department, California Code of Regulations 87633(g). Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated . California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached deficiency. Please see LIC9099D. An exit interview was held with Latoya Johnson, Administrator, and a copy of this report and appeal rights have been provided.