Complaint·November 1, 2023

Interviews found that R1’s family members and the licensee thought that given R1’s cognitive and communication deficits, that R1 might be adversely affected by too many visitors or visits that were too long. There was no records of a doctor’s determination regarding the length or frequency of visits. The preponderance of attempted visitor statements also found that R1 was not asked, at the time of each attempted visit, if R1 wished to receive the visitor. In response to the frequency of visitors for R1, the licensee modified their visitation policies, instituting a visits by appointment only policy. As a result, visitors for R1 who did not make an appointment to visit R1 were, at times, turned away. The licensee did not submit the visitation policy change to their plan of operations to Community Care Licensing for review. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with Administrator . Copy of this report and appeal rights provided.