Follow-up on corrections·August 1, 2022

On August 1 2022, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced to conduct a case management visit to address concerns regarding the facility reporting to Community Care Licensing (CCL) in a timely manner. LPA was greeted and granted entry by Administrator, Gertrude Okoro, introduced self, and explained the purpose of the visit. LPA met with Administrator and toured the facility for the purpose of conducting a Health & Safety inspection. No deficiencies were observed. LPA Mixson reviewed residents' files and pertinent documents were obtained. During this visit, LPA Mixson interviewed one staff. No residents were available for interviews. Staff interview revealed that on June 29, 2022, hospice staff was called for Resident #2 (R2). Hospice staff arrived and conducted an evaluation of R2. Pertinent documentation regarding the evaluation was obtained. Facility staff provided first aid. Facility staff did not report the incident to CCL until July 27, 2022. On July 27, 2022, the Regional Office was advised of an incident that occurred on July 14, 2022 regarding R4. The Murrieta Police Department and the Community Behavioral Health Assessment Team (CBAT), was called to the facility regarding R4's concerning behaviors. However, the facility did not report to CCL until Jul y 27, 2022 which is a violation of Title 22 regulations. Deficiencies will be cited. An exit interview was conducted, and this report, along with the LIC 9099-D, LIC 811, and appeal rights were provided to Administrator.