Follow-up·August 13, 2025

At approximately 9:35AM, Licensing Program Analyst (LPA) Felias arrived uannnounced to conduct a Case Management – Other visit and met with House Manager, Helen Hocog. Licensee, Harry Van Meines, was available by phone. The purpose of today’s visit is to amend documents related to Complaint 21-AS-20250729125340 that was created on 08/01/2025 and obtain new signatures. The following amendments were made to LIC9099D under Complaint 21-AS-20250729125340: Regulation 87608(a)(5)(B). The Type B citation issued on 08/01/2025 was amended to a Type A citation. Plan of Correction Due Date was amended from 08/15/2025 and changed to 08/02/2025 to reflect the Type A citation. Plan of Corrections verbiage was amended to include additional observations made during 08/01/2025 visit regarding R1’s gait belt. Regulation 87468.1(a)(1). The verbiage for Type B citation issued on 08/01/2025 was amended to add the word “written,” to identify type of consent. During visit conducted on 08/01/2025, LPA observed that the secondary bed rail on R1’s bed and gait belt were removed. The Type A citation issued today, on 08/13/2025, has been cleared with Plan of Corrections Letter provided during today’s visit. On 08/08/2025, Licensee submitted proof of physician order for half bed rail, staff training on postural supports, and proof of removed camera to the Department. Deficiencies cited on 08/01/2025 have been cleared with Plan of Corrections Letter provided during today’s visit. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, Plan of Corrections, Plan of Corrections Letters, and Appeal Rights discussed and provided to Licensee. Signature on form confirms receipt of documents.