Follow-up on corrections·December 29, 2022

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Aldersly for the purpose of conducting a Case Management-Deficiencies inspection. LPA was greeted at the door by, Executive Director, Shannon Brown , and was granted access into the facility. During the course of the Complaint Investigation dated for September 7, 2022 LPA Felias reviewed and requested documents. LPA learned that Resident 1 (R1) had a fall that resulted in a fracture. This incident was not reported to Community Care Licensing (CCL) and was not documented on an LIC 624/Unusual Incident Report Form ( See LIC-809D ). In addition, LPA observed that facility has not submitted any incident reports to CCL for the month of November 2022 to December 2022. LPA and Administrator discussed the importance of reporting incidents in a timely manner. ***An immediate civil penalty in the amount of $250.00 has been issued for a repeat violation of the California Code of Regulations (CCRs) Section 87211. The civil penalty will continue to accrue $100 per day per violation until the violation is corrected. Exit interview conducted. Copy of report, LIC-809D, LIC-421FC, Plan of Corrections, and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.