Follow-up on corrections·April 15, 2024

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct follow up case management visit on a self-reported incident regarding Resident R1 that occurred at the facility on 12/29/2023. LPA met with Administrator Assistant Maria “Mary” Gonzalez and was granted entry to the facility. LPA conducted an initial visit to the facility on 1/10/2024 to investigate the incident that occurred on 12/29/2023. During the investigation, LPA found through interviews with the staff and document review of R1’s MARs record that R1 was not given their medication from 12/28/2023 around 1PM to 12/29/2023 around 2 PM. The staff made thirteen (13) attempts to contact R1 to provide medication. These contacts included knocking on R1’s door, waiting outside R1’s door, and yelling R1’s name through the door. During these attempts, there was no attempt to open R1’s bedroom door until around thirteen (13) hours after the first contact attempt with R1 on 12/28/2023. The facility failed to ensure that R1 was assisted and provided with their medication during this time frame. Based on the investigation, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC811, and LIC809D were discussed and provided to Administrator Assistant Maria “Mary” Gonzalez, along with a copy of the appeal rights.