Follow-up on corrections·May 20, 2025

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced case management visit to address a deficiency discovered during a complaint investigation. The LPA identified himself and disclosed the purpose of the visit to Administrator Ray Baha. During a complaint investigation, it was revealed staff had not assisted residents with incontinence care. Review of records revealed several residents in care required assistance with toileting and incontinence care. The administrator confirmed several residents required assistance with toileting/ incontinence care and that staff assisted these residents with this care. Although staff reported providing care during the night shift, conducted random checks, and residents could call for assistance; Interviews with internal and external sources corroborated staff did not ensure incontinence residents were kept clean and dry. One source reported witnessing Resident # 1 (R1) with soiled incontinence briefs. An interview with an additional source revealed staff would only check on R1 once per night, and this had resulted in R1 sitting in soiled incontinence briefs. An additional source reported staff did not respond to assist Resident # 2 (R2) with briefs changes resulting in R2 wearing soiled briefs. This deficiency was cited in accordance with California Code of Regulations, Title 22, and cited in an LIC 9099-D form. A plan of correction was jointly formulated with the administrator. An exit interview was conducted with Ray Baha, to whom a copy of this report, and Licensee/Appeal Rights (LIC9058), were provided.