Follow-up on corrections·December 13, 2023

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit in conjunction with complaint visit 22-AS-20231122171857. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the complaint investigation, LPA toured the facility and interviewed Administrator and witness. Resident 1 has a power of attorney acting as agent for the resident concerning healthcare decisions. LPA reviewed the power of attorney paperwork and confirmed the designation. Administrator confirmed knowledge of resident having a power of attorney for decisions however indicates the paperwork may have been displaced in the facility. Administrator acknowledges the resident was signed up for hospice care at the facility but indicates not being sure of the circumstances surrounding the enrollment and lack of notification to responsible party. Hospice agency was provided resident's personal information without release from responsible party. Resident was disenrolled from hospice after responsible party was advised of the decision via a third party agency. Based on the observations made from today's visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the Administrator and a copy was provided to Administrator as well as Appeal Rights.