Follow-up on corrections·December 15, 2022

On today's date, LPA Quiroz conducted a Case Management- Deficiencies subsequent visit after conducting 10 day investigation visit for complaint control #22-AS-20221208111421. LPA Quiroz met with Administrator Assistant Karmian Galang via telephone and with Caregiver 2 (CG2). During today's visit, LPA Quiroz conducted review of resident files for 6 of 6 residents but not limited to: physician reports, identification forms and needs and services plan. During today's review of documents, LPA Quiroz observed R1 has no physician report on file. This was verified with Administrator Assistant Karmian Galang via telephone who indicated "Having trouble getting it from VA Hospital." Based on today's observation and documentation reviewed, facility is being cited for violation of Title 22, Division 6, of California Code of Regulation 87458 (a) Medical Assessment (a): Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. Today's report was reviewed with Facility staff and with Administrator Assistant Karmian Galang via telephone, and a copy of this report, LIC 809-D, LIC 811- Confidential name, Appeal Rights were provided at exit.