Follow-up on corrections·February 13, 2025

Licensing Program Analyst (LPA) Manuel Monter and Kenneth Madrigal arrived unannounced visit to open a complaint investigation. During the complaint investigation, a case management deficiencies visit was conducted due to violations discovered during the investigation process. LPA met with Administrator Administrator Geralyn De Ocampo While investigating the complaint 26-AS-20250212162218, LPA reviewed resident R1's facility binder. LPA observed the residents Appraisal form, LIC603A, did not have the residents name or age filled out. Furthermore this form had several sections with missing information's such as: Health, physical disabilities, mental condition, health history & social factors. ADM stated the resident was supposed to fill out this form, but did not. LPA explained to ADM, the pre-admission appraisal needs to be filled out by the facility to determine the prospective resident's suitability for admission and that residents potential needs/services they would require. ADM stated she did do the residents appraisal, but only forgot to fill out the first page of the form. Deficiencies are being cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with Administrator Geralyn De Ocampo and a copy of the report and appeal rights were provided.