Follow-up on corrections·July 31, 2023

Licensing Program Analyst (LPA) Magda Malcore prompted a case management visit to the facility for deficiencies identified through complaint investigation 56-AS-20230504153119. LPA met with Administrator, Michael Garcia. Criminal Record Clearance : LPA review of facility records and staff interviews reveal that Staff #1 (S1) was working at the facility without background clearance when an incident occurred at the facility on 4/28/23. LPA determined through Guardian (personnel management system) that S1 was associated to the facility on 4/07/23 and did not have a criminal record clearance. The Administrator stated that S1 resigned and is no longer employed at the facility. A deficiency is being cited in accordance with the California Code of Regulations, Title 22, see LIC809D. Furthermore, LPA review of facility compliance history reveals facility was cited for the same deficiency on 1/12/23 for having an uncleared staff working at the facility. An immediate civil penalty of $1000 is hereby assessed today, 7/31/23, for repeat violation within a 12-month period. The Administrator was informed that a civil penalties will continue to accrue of $100 per day per violation until deficiency is corrected Incidental Medical and Dental Care: LPA review of facility records and staff interviews reveal on 4/28/23, resident #1 (R1) sustained injuries to their face and buttocks due to a fall. The Administrator stated that he did discuss with staff as to why medical services where not call and stated that the Medtech deemed not necessary. LPA found no documentation of staff arranging medical services for R1’s injuries. An incident report was provided to the Licensing Agency. On 6/11/23, staff found R1 on the floor with injuries in between R1’s nose and eyebrow. LPA found no documentation of staff arranging medical services for R1’s injuries. On 6/15/23, R1 was taken to the hospital for a possible fall and hip injury. R1 discharge reveal that a follow-up visit with primary care physician is needed with 1-2 days. The Administrator stated that R1's daughter was taking R1 to their doctor for a follow-up. Administrator stated that he will follow-up and provide the licensing agency documentation of follow-up with primary care physician's visit. A deficiency is being cited in accordance with the California Code of Regulations, Title 22, see LIC809D. Reporting Requirements: LPA review of facility records and licensing agency records reveal that the licensee did not provide the licensing agency with written reports regarding R1 injuries which occurred on 6/11/23 and 6/15/23. Administrator provided LPA with written incident reports and stated the he will provide proof that the incident was provided to the licensing agency within the required 7 days. A deficiency is being cited in accordance with the California Code of Regulations, Title 22, see LIC809D. Furthermore, LPA review of facility compliance history reveals, facility was cited for the deficiency on 4/03/23 for not reporting an incident regarding a resident in care to the licensing agency. An immediate civil penalty of $1000 is hereby assessed today, 7/31/23, for repeat violation within a 12-month period. The Administrator was informed that civil penalties will continue to accrue of $100 per day per violation until deficiency is corrected. An exit interview was conducted where reports (LIC809/LIC809-D) were discussed and copies with appeal rights were provided to the administrator at the conclusion of the visit.