Follow-up on corrections·January 10, 2023

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Marin Terrace for the purpose of conducting a Case Management-Deficiency inspection and clearing out a POC. Upon arrival, LPA was greeted by Interim Administrator, Tom Eiseman. During the POC inspection, LPA observed the kitchen staff sign-in sheet regarding staff training. LPA observed both kitchen staff members signature on the document. Therefore, this Plan of Correction (POC) has been cleared. However, during the Case Management-Deficiencies inspection, it was disclosed that the Level of Care plan was misplaced and not in the residents file. This deficiency was previously issued on December 16, 2022. As of January 10, 2023, record keeping and the associated training(s) with staff has still not been completed as outlined in the Plan of Correction. Therefore, Civil Penalties will be assessed today. ***An immediate civil penalty has been issued for a Repeat Violations and Failure to Correct the deficiency of California Code of Regulations (CCRs) Section 87506(a)-Record Keeping . *** Exit interview conducted. Copy of report, LIC-809D, LIC-421FC, Plan of Corrections, and Appeal Rights discussed and provided to Administrator. LPA emailed all documents due to printer issues. 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.