Non-compliance follow-up·October 11, 2022

Licensing Program Analyst, (LPA), Natasha Persaud conducted an unannounced Case Management - Legal/Non-Compliance visit. The purpose of the visit was to conduct an inspection to ensure ongoing compliance with regulations and laws and ensure the health and safety of residents in care. LPA met with Administrator, Rocio Granda. During today’s visit, LPA briefly toured the facility, observed residents in care, reviewed records, and provided consultation regarding Title 22 requirements. LPA discussed the following regulations with the administrator to ensure compliance: Care of Persons with Dementia; Incidental Medical & Dental Care; Additional Personal Rights of Residents in Privately Operated Facilities; Reappraisals; and Reporting Requirements. The administrator was debriefed on the regulations and there is an understanding of the regulations. A review of resident records indicated Resident #1, Resident #2, and Resident #3 do not have a current resident appraisal on file. The appraisal is required to ensure the facility is meeting the resident's care needs. Based on today’s inspection, a deficiency was observed and cited on the attached LIC 809D. An exit interview was conducted and a copy of this report along with Licensee's Appeal Rights (LIC 9058 01/16) were provided to Administrator, Rocio Granda whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names to identify Residents #1, #2, and #3]