Follow-up on corrections·October 3, 2023

Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to conduct a case management visit on 10/03/23. LPA Campbell obtained information that the resident had resided in the home with a stage 3 pressure wound without an exception request. The Department conducted interviews, reviewed documentation submitted and determined that the resident had a Stage Three Pressure Wound after leaving the hospital on 06/16/2023. Based on interviews with administrator Laura Reeves, the resident was admitted back to the facility despite having no approved exception request from the Department. Licensing was not notified of the prohibited health condition and no exception request was received by licensing. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies are being cited on the attached 809D during this visit. If any of the cited deficiencies are not corrected by the noted due dates, civil penalties may be assessed. The Facility Designee was provided a copy of their rights (LIC9058) and their signature on this form acknowledges receipt of these rights. An exit interview was conducted, a copy of the report was given.