Correction check·October 30, 2024

Licensing Program Analysts (LPAs) Hiratsuka and Mikkelson conducted this unannounced plan of correction visit in response to deficiencies cited for Complaint 59-AS-20241022104408 and a Case Management visit on 10/24/2024. LPA Mirlohi arrived later to conduct her own Plan of Correction visit. On 10/24/2024, the following deficiencies were issued and they are not corrected as of today: -Health and Safety Code 1569.312(e) Basic Services- this was cited because a resident made it out of the facility unnoticed by staff and was found about four blocks away. The Licensee was to submit a written plan of correction on how she shall ensure how staff monitor residents based on needs. Licensee did not submit this plan. Civil penalties of $500.00, is issued today and shall accrue at $100.00 until Licensee submits contacts LPA Hiratsuka. -Title 22 Regulation 87465(e) Incidental Medical and Dental Care. this was cited because per Title 22 the facility shall telephone 9-1-1 if there is an imminent threat to the health and safety to residents. A resident left the facility unnoticed and Licensee took approximately 30 minutes before calling 9-1-1. Licensee was to submit a written plan that addresses what staff are going to do when a resident is missing. Civil penalties of $500.00, is issued today and shall accrue at $100.00 until Licensee submits contacts LPA Hiratsuka. -87307(d)(6) Personal Accommodations and Services. This was cited because the front door was blocked by two chairs and the sliding glass door had a wood rod put on the track to keep the door from sliding open. The chairs and wood rod were removed, but the licensee did not submit a written plan of correction on how she is going to ensure the exits are not blocked. Civil penalties of $500.00, is issued today and shall accrue at $100.00 until Licensee submits contacts LPA Hiratsuka. -87463(a) Reappraisals. This was cited because the appraisal and needs and services plan for the residents did not meet what the residents needs were. One did not mention the resident was a wanderer and there was a second one that had a resident's name written over White-Out, and had another person's name in the body of it. Licensee was to submit a written plan how she was going to ensure the appraisals and needs and services plan address the resident abilities and needs and how she was going to have the staff meet those needs. Civil penalties of $500.00, is issued today and shall accrue at $100.00 until Licensee submits contacts LPA Hiratsuka. The following was not corrected but no civil penalties issued because the licensee did part of the plan of correction: -87705(j) Care of Persons with Dementia. Title 22 regulations requires audio alerts on exits when exiting poses a risk to residents. Licensee blocked the front door with two chairs and put a wood rod on the track of the sliding glass door. The licensee has removed the chairs and the wood rod. Licensee installed audio alerts on the exits. Licensee was to submit a written plan of correction of how she shall ensure the exits are not blocked and the audio alerts working. LPA is not issuing civil penalties and Licensee is to submit a written plan about the audio alerts and not blocking exits. A total of $2000.00 civil penalties were issued. The four uncorrected deficiencies shall accrue at $100.00 per day until Licensee submits a written plan of correction. No additional deficiencies issued during this visit. Appeal rights left for the civil penalties. A copy of the report has been issued