Follow-up·January 31, 2024

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced visit to deliver findings for a complaint investigation and in conjunction conduct this case management visit regarding the residents rights. LPA identified herself and was granted entry by Jonalyn Libunao, Business Office Manager. LPA stated the purpose of the visit and reviewed the elements of the case management visit with Executive Director Michael McCoy, and Esmeralda Reyes, Resident Service Director (RSD). The Department’s investigation regarding the complaint dated December 7, 2020, control number 08-AS-20201125155602, resulted in unsubstantiated findings, but a discrepancy was observed during the review of resident records. Based on the Needs and Service Plan for resident #1 (R1 – see LIC811 Confidential Names list), dated 08/17/2020, the plan was incomplete and did not have R1 or their responsible party’s signature. It should also be noted that the Authorized Community Representative signature was not on the updated plan as well. During today’s visit, LPA reviewed Title 22, Division 6, Chapter 8, Sections 87468.2 Additional Personal Rights of Residents in Privately Operated Facilities, specifically section (a)(7). Based on the Department’s investigation and the evidence obtained during records review, deficiencies are cited during this case management visit and can be viewed on the LIC809-D page of this report. The report was discussed, a plan of correction was jointly developed, and an exit interview was conducted with Executive Director McCoy, and Resident Service Director Reyes. A copy of this report along with Licensee/Appeal Rights (LIC9058 01/16) were provided to ED McCoy at the conclusion of the visit. The signature below confirms the documents were received.