Follow-up on corrections·October 21, 2024

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced case management based on deficiencies observed during today’s visit, 10/21/24. LPA met with Administrator, Michael Garcia and was informed of the visit. On 10/21/24, LPA's record review of resident's files, reveals resident #1(R1) was sent to the hospital by ambulance on 6/18/24, 9/24/24, and 10/08/24. Resident#2(R2) was sent to the hospital by ambulance on 7/06/24 and 9/23/24. Resident#3 (R3) had a physical altercation with Resident #4(R4). R4 sustained injuries and facility staff called law enforcement. During today's visit, LPA observed dark discoloration around Resident #5 (R5's) eye. Staff #1 (S1) informed LPA is was due to a fall and Hospice was notified. LPA review of Regional Office files and interview with the Administrator reveals, staff did not submit a written report to Community Care Licensing on these incidents which involved the health and safety of the residents in care. On 10/21/24, LPA toured the memory care area of the facility. During the tour, LPA observed a strong odor in the hallway. S1 stated that R1 had just been changed. However, LPA observed R1 was in the activities room which was a lengthy distance from R1' room. LPA entered R1's room, noticed the strong odor and noticed that the room floor was sticky. Deficiencies are being cited in accordance with Title 22, Division 6, of the California Code of Regulations (see LIC809D). A civil penalty of $250 is hereby assessed today for repeat violations within a 12-month period for regulation 87211(a)(1)(D) previously cited on 12/09/23. Another civil penalty is also being assessed for repeat violation within a 12-month period for regulation 87303(a) previously cited on 8/23/24. The Administrator was informed civil penalties will continue to accrue $100 per day until the deficiency is corrected. An exit interview was conducted where this report and correction plans were discussed. A copy of this report with appeal rights was provided to the Administrator at the conclusion of the visit.