Follow-up·June 23, 2023

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management - Other visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator Rebecca “Becky” Rayo. Today's visit was in response to a 30-day written eviction notice, which Licensee served to Resident #1 (R1) on 04/24/2023. [See LIC 811 Confidential Names List for a description of R1]. Licensee also sent a copy of this eviction notice to the CCLD San Diego Regional Office (RO) (received 04/25/2023). During today’s visit, LPA performed a brief facility tour, reviewed pertinent care and administrative records, and interviewed relevant staff. As of the date of CCLD’s visit, R1 was no longer a resident of the facility. Per interviews and records reviewed: R1 had lived at the facility since 2004. During April 2023, there was an occasion where R1 slapped Resident #2 (R2), as witnessed by staff. R2 did not have any injuries. The facility timely notified R1’s psychiatrist, who helped facilitate R1 being taken by law enforcement to a local hospital on a Welfare and Institutions Code 5150 psychiatric hold. After R1 was admitted and while they were still at the hospital, licensee served R1 with a written eviction notice. R1 never came back to the facility. Even prior to the above incident, R1 had episodes of medication refusal, throwing items, and/or speaking aggressively towards other residents in care. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] After reviewing the facility’s “House Rules,” which R1 signed upon move in, LPA concluded that licensee had basis to issue a 30-day written eviction notice to R1. However, the written notice which licensee served to R1, in practice, did not fully satisfy regulatory requirements. Three (3) deficiencies were cited per California Code of Regulations were issued, and one (1) Technical Violation (TV) was issued. Plans of Correction were jointly developed with the licensee. An exit interview was conducted with Rayo, to whom a copy of this report, the LIC809-D pages, the LIC9102-TV, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.