Follow-up on corrections·June 9, 2021

Licensing Program Manager (LPM) John Rante and Licensing Program Analyst (LPA) Eva Torres conducted a case management visit to cite violations discovered during an investigation. On November 26, 2019, the Department conducted an on-site visit to investigate allegations of neglect. The investigation included a review of records and interviews conducted. During the investigation, LPA reviewed the facility, hospice, and Resident #1's (R1) (See LIC 811- Confidential Names List for R1) records. According to R1's Physician's Report dated September 19, 2019, it noted R1 is bedridden, which means a person who requires assistance with turning or repositioning in bed. The report also indicated that R1 needed continuous bed care, a record of skin breakdown, and help with toileting, bathing, grooming, dressing, and medication management. The facility's Plan of Operation under Care of Bedridden Residents was also reviewed. The plan stated that the facility would develop a plan to address the resident's needs, including the need to be repositioned every two hours and daily body checks for skin monitoring. After reviewing the above records and conducted staff interviews, the licensee neglected to provide regular overnight care in adherence to the hospice care plan to include repositioning R1 every two hours and their incontinence needs due to R1's documented bedridden status. Based on records reviewed and interviews conducted, a deficiency is cited per Title 22, Division 6 of the CA Code of Regulations on the attached LIC 809-D.An exit interview was conducted with Administrator, Naghibi. The Licensee/Appeal Rights (LIC 9058 01/16) and a copy of this report was provided to Mr. Naghibi via email. A return email or reply receipt from the Mr. Naghibi will confirm receipt of documents.