Follow-up on corrections·March 3, 2025

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20250205085503. LPA met with Administrator (AD) Jeri Miles and explained the reason for today’s inspection. During the course of the investigation, LPA inspected the facility, conducted health and safety checks on residents, interviewed AD, and obtained and reviewed copies of the resident roster, staff roster, and Resident #1’s (R1) Progress Notes. LPA reviewed R1’s Progress Notes which state that: on February 1, 2025, R1 had an unwitnessed fall, sustained a laceration to their head, was treated at a hospital, and returned to the facility the same day; on February 4, 2025, R1 had an unwitnessed fall, sustained a bruise to their head, was treated at a hospital, and returned to the facility the same day; and on February 5, 2025, R1 had an unwitnessed fall, did not sustain any injuries, and was seen by a nurse at the facility. However, based on incident reports received at the Orange County Regional Office (OCRO) and AD’s admission, R1’s fall on February 1, 2025, was not reported as required. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.