Follow-up·September 2, 2021

Licensing Program Analyst (LPA) Wolter arrived at the facility unannounced on 09/02/2021 to conduct a case management visit regarding an eviction notice that LPA received on 08/31/2021 from facility. LPA met with staff Gladys Gasta and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Eviction notice received was dated 08/09/2021 and issued to resident (R1) and their responsible party. Community Care Licensing (CCL) did not receive a copy of the eviction within five (5) days as required by Title 22 Regulations, therefore eviction is invalid and needs to be reissued. Additionally, a deficiency is being cited on the attached LIC 809-D. Staff informed LPA that R1 moved from the facility on 08/29/2021. Exit interview conducted, appeal rights provided, and copy of report left at the facility.