Follow-up·July 27, 2023

On 07/27/2023 at 2:10 PM, Licensing Program Analyst (LPA) Pang Lee arrived at the facility unannounced to conduct a case management visit. LPA Lee met with care staff, Carol Carvantes. Care staff called administrator, Emelinda Siebenthal. Administrator arrived approximately 10 minutes later. LPA Lee explained the purpose of the visit. The purpose of today’s visit is to follow up on a 30 days eviction noticed. LPA Lee requested the following documents for resident (R1). Licensee will emailed the following documents to LPA Lee by 07/31/2023 by end of day 5:00 PM. 1) LIC 602- Current Physician report 2) New and current admission agreement 3) Revised draft of the eviction letter During today's visit, It was learned that (2) out of (4) facility staff are not associated to the this facility prior to working at this facility. It was also learned that (1) out of (4) facility staff was not fingerprint cleared prior to working at the facility. PA Lee advised administrator that any staff that is not fingerprint clear and associated to the facility can not be at the facility working until staff is finger print cleared and associated. As a result of this case management visit, the facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC-809 D page. Immediate Civil Penalty were assessed. An exit interview was conducted, and a copy of these LIC-809 reports, LIC 809-D page, LIC-421BG, and Appeals rights were provided to the Licensee/Administrator.