Follow-up·October 21, 2021

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to this facility. LPA was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedures. Via phone LPA made consultation with Administrator Tyana Fisk. LPA stated the purpose of this visit. On October 7, 2021, Community Care Licensing Division (CCLD) Orange Office received a letter from Administrator Tyana Fisk requesting for an increase in hospice waiver. LPA Marin reviewed the request and the compliance history of the facility. On October 14, 2021, Licensing Program Manager Luz Adams approved the request. For this visit, LPA discussed with AD T. Fisk the terms and conditions of the hospice waiver. LPA then toured the interior of the facility and observed five residents in care and two staff members on the floor. LPA Marin conducted an exit interview with AD T. Fisk. AD granted permission for staff to sign and receive the report. LPA left copies of this report, updated license and letter of approved hospice waiver in the facility.