Correction check·November 17, 2023

Licensing Program Analyst (LPA) Kevin Mknelly arrived on 11/17/23 for the purpose of conducting Plan of Correction (POC) inspection for deficiencies issued on 10/31/23. LPA was greeted by caregiver. LPA spoke with the Administrator by phone. On 10/31/23 deficiencies were cited for a fire clearance and a criminal record clearance violation. At this time, clearance issues are resolved and all staff have verified clearance to work at the facility. R2 continues to reside in a room fire department cleared for ambulatory residents only. This failure to correct has exceeded 10 days therefore the citation is to be reissued without civil penalty for the failure to correct. LPA discussed annual fees past due on 10/31/23. The fees have not been paid at this time, therefore a citation is issued. Administrator is still in process of correcting resident and staff file issues cited. The plan of correction dates for those deficiencies is 11/21/23. LPA also advised Administrator to have LIC 308 designations of staff in place for times they are not present. An exit interview was conducted with caregiver, MS. A copy of the report was provided and appeal rights were given. Licensee/Administrator to submit Plan of Corrections by due date. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.