Follow-up on corrections·October 4, 2023

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit to cite a deficiency unrelated to a complaint investigation. LPA was greeted by, identified herself to, and explained the purpose of the visit to Administrator Natalia Verdugo. During today’s visit, LPA toured the facility, observed residents in care, reviewed and obtained copies of facility records and spoke with the Administrator. During today's visit, LPA reviewed 14 files for residents who were present at the facility for the 2023 calendar year but were no longer current residents (Residents 1-14). LPA spoke with Administrator Natalia who informed LPA that the majority of her previous residents had passed away at the facility. The Administrator informed LPA that she would call the Department when an unusual incident occurred at the facility but that she did not call the Department for a resident's death. The Administrator stated that she did not submit incident or death reports to the Department. Review of the incident and death reports submitted to the Department did not reveal any incident or death reports submitted to the Department from the facility for R1 - R14. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC809-D page. LPA provided the Administrator with copies of LIC624 and LIC624A and regulation 87211 Reporting Requirements. An exit interview was conducted with Administrator Natalia Verdugo, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 01/16).