Follow-up on corrections·June 6, 2022

Licensing Program Analyst (LPA) Dawn Segura conducted a case management visit to cite for a deficiency that was observed during a complaint investigation. LPA was granted entry into the facility by Arthuro Vinarao, Staff, to whom she disclosed the purpose of the visit. The house manager, Althea Bordario, was called and arrived a short time later. During a complaint investigation, LPA discovered, through interviews and record review, that Resident 1 (R1) [an LIC 811 Confidential Names List was provided to identify the resident] moved into the facility on March 13, 2022; however, an admission agreement was not executed until March 30, 2022. Deficiency is being cited Per Title 22, Division 6, Chapter 8 of the California Code of Regulations and is listed on an LIC 809-D. An exit interview was conducted, and this report was discussed with Althea Bordario. A copy of the report and Licensee/Appeal Rights (LIC 9058 01/16) were provided to the house manager, and her signature on this form acknowledges receipt of the rights and a copy of this report.