Follow-up on corrections·July 5, 2023

On 7/5/2023, Licensing Program Analysts (LPA) Murial Han conducted an unannounced case management visit to deliver the findings in reference to complaint # 14-AS-20230616164015. LPA met with Care Coordinator and administrator and explained the purpose of the visit. During the initial complaint visit on 6/21/2023, LPA was informed resident #1 (R1) was transferred to the hospital due to an incident, and the administrator provided a copy of the incident report (LIC624) stating that R1 was transferred to the hospital on 6/5/2023. However, the report did not indicate that the incident was reported to CCLD, and LTCO. In addition, there is no record at CCLD that this incident was reported by the facility. During the course of the complaint investigation, LPA observed the facility was notified by Institute on Aging in May 2023 of R1's change in health condition. However, R1's needs and services plan was updated during LPA's visit on 6/21/2023. According to facility director, R1's needs and services plan should have been updated in May 2023 when facility was notified by Institute On Aging of R1's changes in health condition. In addition, LPA observed R1's needs and services plan was not signed and dated by the resident, responsible party and facility representatives. LPA interviewed R1 who stated that he/she did not know what a needs and services plan was and he/she was not part of the care planning process. Deficient is cited under California Code of Regulations, Title, 22 cited on the LIC809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with care coordinator and administrator. a copy is provided and appeal rights.