Follow-up on corrections·September 25, 2025

On 09/25/25, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to conduct a case management as a follow-up on complaint number 27-AS-20250424084313 closed earlier today. LPA identified herself upon arrival, stated the purpose of the visit, and asked to meet with Ashley Sylve, the Quality Assurance/Performance Improvement Director (RQAPID)/Designee. LPA met with Sylve and a brief meeting followed. During the course of that investigation, this LPA learned the following. Based on a review of the pendant call alert, there were days when either R1 did not have a pendant (both the family and facility staff commented that it had been lost and replaced). This LPA learned the following from a review of the call logs. From 05/01/25 though 05/14/25, R1 activated their pendant 66 times, out of that number, 11 of these calls for assistance took longer than 15 minutes to respond to. On 05/01/25, It took staff 2 hours and 26 minutes to address R1's call. On 05/02/25, it took 1 hour and 2 minutes. On 05/06/25, it took another 1 hour and 2 minutes. On 05/08/25, it took 31 minutes, and on 05/09/25, it took 1 hours and 20 minutes. According to the California Code of Regulations (CCR) Title 22, the Licensee did not ensure that CCR 87411(a) was followed. This regulation requires the Licensee to provide "care and supervision as necessary to meet the residents' needs." This deficiency was cited on the LIC 809 D page. There were no other deficiencies cited during today's visit. A copy of this report was provided along with APPEAL Rights and an exit interview was conducted with Sylve.