Follow-up on corrections·May 17, 2024

Licensing Program Analyst, (LPA) Kathleen Banrasavong arrived unannounced to follow up on a death report (LIC 624A) received by Community Care Licensing, Riverside Adult and Senior Regional Office on 05/06/2024. LPA identified herself, and met with Caregiver, Rita Gamez, and explained the purpose of the visit. Additionally, the LPA spoke to the Assistant Administrator, Marilyn Ponteres over the phone to explain the purpose of the visit. Gamez accompanied LPA on a tour of the facility. There were no health and safety concerns present during the visit. The department received a death report for resident 1 (R1). R1 passed away on 04/22/2024. Under the Title 22, Division 6 Chapter 8 Article 04. Operating Requirements 87211 (a) (1) (A), a deficiency will be cited due to the Administrator not reporting to the Department until 05/06/2024, the 14 th day after resident 1(R1) had passed away. An exit interview was conducted where a copy of this report was discussed and provided along with copies of the LIC809-D, the LIC811 and Appeal Rights were provided to the Caregiver, Rita Gamez, as evidenced by her signature.