Follow-up on corrections·April 3, 2023

On 4/3/23, Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced case management visit to the facility. LPA met with Administrator/Licensee, Michael Garcia and explained the purpose of the today’s visit. Based on document review obtained during complaint# 56-AS-20230309152937 and complaint #56-AS-20230221161840 the following deficiencies are being cited in accordance with the California Code of Regulations, Title 22: The facility did not submit a Special Incident Report (SIR) to the Community Care Licensing Division (CCLD) to report resident 1’s (R1) fall on 1/23/23; which poses a potential health and safety risk to resident in care, see (LIC809D). The facility did not ensure that staff 1 (S1) and staff 2 (S2) had a verifiable health screening that indicates whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. LPA found a Health Screening Report (LIC 503) which was completed by (S1) and (S2) with the physician evaluation summary left blank, no physician stamp and signature, no date of evaluation, see (LIC809D) Plans of Corrections were reviewed and developed with Administrator/Licensee, Michael Garcia. An exit interview was conducted, a copy of this report and appeal rights was discussed and provided to Administrator/Licensee.