Follow-up on corrections·October 6, 2021

Licensing Program Analyst (LPA) Avelina Martinez arrived at facility unannounced to conduct a case management visit on 10/06/2021. LPA met with Grace Bernadino and explained the purpose of the visit. The purpose of the case management visit is to follow up on a learned deficiency during a complaint investigation. It was learned resident 1 (R1) was receiving home health services beginning on 05/23/2021 and ending on 09/16/2021. During a facility visit, LPA Martinez reviewed R1's facility file. R1's facility file did not contain a written responsibility agreement between the licensee and the home health agency. The written agreement shall reflect the services, the frequency, and duration of the care that will be provided by the home health agency and by facility staff. As a result, the facility is not adhering to Title 22 Regulations, and the deficiency can be found on the 809-D report. An exit interview was conducted with Grace Bernadino, and a copy of this report was given to the facility at the end of this visit.