Follow-up on corrections·March 19, 2025

Licensing Program Analyst (LPA) Manuel Monter arrived unannounced to deliver the results of 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 Geralyn De Ocampo. While investigating the complaint 26-AS-20240529150017, LPA reviewed R1’s Appraisal/Needs & Services Plan (ANS), dated May 11, 2023, signed on December 15, 2023. The ANS states R1 has a neurocognitive disorder. The ANS states R1 is a fall risk. R1 also has a history of falls at home. R1 uses a walker but refuses to use it at times. The ANS states R1 also wanders at times. Under Objective/Plan, the ANS states to observe fall precautionary measures: provide a well lighted room at all times, maintain a clutter free environment, remind R1 to seek staff’s assistance at all times, monitor for any changes in functioning skills. ADM stated the facility did have a plan to address the falls. ADM stated the facility plan to address R1’s behaviors included the following; ADM stated they put in a bed alarm in R1’s bed. ADM stated she instructed staff to supervise R1 and ensure that R1 is assisted when walking, due to his fall risk. ADM stated the night shift was instructed to ensure to wait outside R1’s bedroom door to ensure that R1 had fallen asleep, because R1 will get up at night and wander. ADM stated staff was instructed to keep R1 within their line of sight. LPA asked if ADM updated the care plan to reflect these changes she noted to LPA. ADM stated she did not update the care plan. 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.