Discovery Commons Raincross

(a) If a licensee…increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 60 days' prior written notice to the residents or the residents' representatives setting forth the amount of the increase, the reason for the increase, and a general description of the additional costs… This requirement was not met as evidenced by: Based on interview and record review the facility did not issue proper notice to R1 and their representative of increase in fees. This poses a potential health saftey or personal rights risk to residents in care.

Applicant and licensee fees are charged by statute

Licensing Fees: (a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. This requirement was not met as evidenced by: Based on record review, the Licensee has not complied with the above regulation with annual fees assessed 12/1/21 and late fee assessed 3/3/22. LPA Colvin observed that the Licensee has not paid the most recent annual fees and has accured a late charge. This is a potential personal rights violation to residents in care.

Plan of Operation: (a) Each facility shall have and maintain a current, written definitive plan of operation...Any significant changes...shall be submitted to the licensing agency for approval. The plan...shall contain the following: (2) A copy of the Admission Agreement... This requirement was not met by: Based on record review, the Licensee did not comply with at least one aspect of the facility's Plan of Operation. LPA Colvin observed that CCL did not have a current copy of the revised Admissions Agreement (which has a substantially different fee structure) on file. This is a potential personal rights violation.

Maintain separate complete record for each resident

Resident Records: (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by: Based on record review, the Licensee did not comply with the above regulation with at least one resident (R1). LPA Colvin observed that the facility did not have a copy of R1's new Admissions Agreement or rate change on file. This is an immediate personal rights violation, as it violates CCL's inspection authority.

Admission agreement signing and dating deadline

Admissions Agreeement: (c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative... Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement was not met by: Based on interview with Business Manager, the Licensee did not require the new Admissions Agreement (2021/2022) to be signed by R1's POA. This is an immedaite personal rights violation, as R1's POA was not provided an opportunity to review or reject charges.