Health check·September 6, 2023

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced case management visit to conduct a Health and Safety check of the residents in care at the facility. LPA met with Facility Manager Eldalin De Deugd and explained the reason for the visit. The Health and Safety check included overall observation of the facility inside, and outside, including food supply, medications, records, physical plant, and the residents in care. LPA observed the following safety concern in Resident R1’s records review: During document review LPA discovered that R1 was admitted to the facility on 11/1/2018. R1’s most recent resident appraisal, LIC 603A, was completed on 11/1/2018. R1’s most recent physician’s report, LIC602A, was completed on 1/16/2021. Based on R1’s medical diagnosis, R1 should have an updated LIC603A and LIC602A annually. The facility not completing an annual LIC603A and an LIC602A for R1 poses an immediate health, safety, or personal rights risk to persons in care. Based on the observations made during today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Facility Manager Eldalin De Deugd and, along with a copy of the appeal rights.