Follow-up on corrections·June 13, 2024

Licensing Program Analysts (LPAs), Stephanie Martinez and Valerie Flores, conducted an unannounced visit to the facility to address a violation observed by LPA Martinez. The LPAs met with Ana Osborne, Licensee, and informed her of the purpose for their visit. LPA Martinez observed an incomplete Resident Appraisal (LIC 603A) on file for Resident One (R1). According to R1's admission agreement the resident was admitted on 05/28/2024. The LPA observed the appraisal to have some information relating to R1's health and physical disabilities; however, the form was not completed. According to Licensee Osborne, a pre-admission appraisal was completed by herself and Staff One (S1) prior to the resident moving into the facility. No additional notes relating to the pre-admission appraisal were observed on file. LPA Martinez was informed by Licensee Osborne that R1, who left the facility for a hospitalization, was observed by staff to have additional needs not reported by the health facility that placed R1. According to Licensee Osborne, no notes documenting the staff observations were completed. Therefore, a citation will be issued. An exit interview was conducted with House Manager, Dearme Doverte; this report was reviewed, and a copy was provided, along with the LIC 811 and appeal rights.