Follow-up on corrections·January 12, 2023

Licensing Program Analyst (LPA) Melody Brown met with Licensee Virginia Garcia and Administrator MIchael Garcia at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office 01/12/2023 at 01:00 PM AM to initiate a Case Management Office Visit. LPA Brown explained the purpose of the requested Office Visit. The investigation consisted of interviews and a review of pertinent documentation. On 02/08/2022 document review, the Department observed Staff # 4 (S4) was not listed in Personnel Report Summary with date 02/28/2022. The Department Interviewed staffs and reviewed documents and it indicated S4 started working at the facility 06/2021. LPA Brown observed per records review that S4 have criminal background clearance but the facility failed to associate S4 to the facility. LPA Brown observed that the facility recently associated S4 to the facility last 08/09/2022. LPA Brown will issue a deficiency as this pose immediate risk to residents in care. In addition, LPA Brown informed Staff # 3 (S3) that per records review, S2 had criminal background clearance and associated to the facility but the facility encoded incorrect information in Guardian website. LPA Brown requested S3 to make sure correct information are used when processing criminal background clearance and S3 expressed understanding. Civil penalty was assessed with the amount of $500.00 during the Office Visit for failure to associate/transfer S4 Criminal Background Clearance to the facility. Moreover, the Department reviewed R2 documents and it indicated that R2's last reappraisal date was 09/2019 and the facility failed to conduct R2's reappraisal annually. Documents review indicated R2's behaviors last 11/2019 and 12/2019 and R2's aggressive act last 06/2020 but the facility failed to conduct reappraisal on R2. ***Continuation in LIC809C *** LPA Brown will be issuing a deficiency as the facility failed to ensure that R1 have annual medical assessment and reappraisal done annually that includes reassessment of R2's dementia needs which pose immediate health, safety and personal rights risk to resident in care. An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to Licensee Virginia Garcia and Administrator Michael Garcia.