Follow-up on corrections·November 9, 2022

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a follow up case management inspection. LPA spoke with Marjorie Reboja, Administrator, who greeted LPA at the front door. LPA explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 Department protocols. LPA was not screened per Covid-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. LPA confirmed there are no positive cases or staff/residents with symptoms upon entering the community. The purpose of today's inspection is to issue a deficiency related to the facility not timely reporting the death of Co-Licensee, Pedro Reboja, within (1) day of the date of passing, or 8/14/22. The Department was informed by email on 10/31/22 by the Administrator, Marjorie Reboja, of Co-LIcensee's passing. The Department requested a copy of the death certificate on 11/2/22 when LPA was able to respond to the email, and also provided information on what additional paperwork is needed to proceed in changing the entity from a partnership to a sole or corporation. Regulation 87111 states the following: (b) In the event of a licensee's death, an adult who has control of the property, and had been designated by the licensee as the party responsible to continue operation of the facility upon a licensee’s death shall: (1) notify the Department by the next working day of the licensee’s death; (2) inform the Department within 5 working days if the designee decides not to apply for licensure. LPA and Administrator discussed the options again during today's inspection and LPA provided with the contact number to the Department's Centralized Application Bureau (CAB). Administrator stated she would like to add Co-Administrator, Justine, to the license. Administrator, Marjorie, has been Administrator since 2006. LPA to change in the system. Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (1) deficiency is issued on the 809-D page. Exit interview. Copy of report and appeal rights provided.