Follow-up·November 21, 2024

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced Case Management - other visit and met with Administrator Bani Kaur (ADM). The purpose of today's visit is to collect more information regarding the 30 days eviction letter that the facility issued to resident R1. On 11/15/2024, the Department received a notice from Administrator Bani Kaur (ADM) that the facility issued a 30 day eviction letter to resident R1 due to the facility is unable to provide the level of care to R1. On 11/11/2024, the facility issued a 30 day eviction letter to R1. The reasons of the eviction are resident R1 violated the Admission Agreement and the house rule. LPA toured the resident rooms. LPA interviewed ADM, 2 staff (S1, S2), and 3 residents (R1, R2, R3). LPA request resident's ID form, pre assessment form, physician report, appraisal needs and service plan, incident reports, functional capability form, and progress notes. Exit interview was conducted with ADM. The report was provided to ADM to review. A copy of the report was provided to ADM.