complaint·May 30, 2024

Allegation: Licensee did not co mplete an admission agreement for resident. The complaint alleges that resident (R1) moved in to the facility on May 14, 2024 without a signed admission agreement. Resident (R2) moved in on 5/24/2024. Bayshire San Dimas was licensed on April 1, 2024. A total of two (2) new residents moved in after licensure. Record review revealed that R1 does not have signed Residence and Care Agreements on file. Resident (R2's) Residence and Care Agreement was electronically signed today, within the seven days following admission . Both residents (R1 & R2) did not know whether their responsible parties have signed the admission agreement. R1's responsible party stated that they received the admission agreement 1 week after R1 moved in, and has not signed the agreement because they had questions, and preferred to meet with staff prior to signing the agreement. R1's responsible party stated they plan to visit the facility today and will be signing the agreement. File review indicates that resident (R1's) Resident Care Evaluation (Appraisal) has not been completed; only sections A. [I- III] are filled out. Per Clinical staff interview, a thorough coordination of care has not been discussed or implemented by the clinical team. A total of eight (8) residents were interviewed, of which all stated they or their responsible parties have not signed Residence and Care Agreements for Bayshire San Dimas; however, 6 out of 8 residents moved in prior to the change of ownership. Administrator Chad Coleman and Manager Lisa Gomez acknowledged the facility failed to obtain signed copies of R1's admission agreement. There is sufficient evidence to corroborate the allegation. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A deficiency is being cited. See LIC 9099D. Exit interview was conducted with Manager Lisa Gomez. A copy of the report and appeal rights was provided.