Follow-up on corrections·April 3, 2024

Licensing Program Analyst (LPA) Yolanda Delgado made an unannounced visit to conduct a case management visit to clear deficiency. LPA was greeted at the door by facility staff and Administrator Ana Stark Pleitez was present. Currently there are six (6) residents in care. The following documents were requested to be viewed for staff and residents; records such as, Physician's Reports, Needs and Services, Admissions Agreements, Verification of Required Staff Training's, Proof of Fingerprints/Background Checks/Facility Associations, Health Screenings. These records or proof their of were to be submitted to Community Care Licensing by March 13, 2024. LPA Delgado requested and reviewed five (5) of six (6) residents files and all documents requested were not in files. There is no file for 6th Resident. LPA requested to review five (5) staff files and three (3) of five (5) files were available to be reviewed and all documents requested were not in files. Based on the information received during this visit today, civil penalties assessed are $2100 and will be issued for Failure to Correct per Title 22, Division 6 of The California Code of Regulations. This LIC 809 report, LIC811, LIC421FC, and Appeal Rights was reviewed with the facility representative and a copy was provided.