Follow-up·August 25, 2021

Licensing Program Analysts (LPAs) Christine Dolores and Marybeth Donovan conducted an unannounced Case Management Visit. LPAs met with Billy Mitchell, Executive Director (ED), Jocelyn Bailon, Compass Rose Resident Service Director, and Jeeteeh Gigliotti, Resident Service Director. LPAs explained the purpose of the visit to obtain additional information related to 4 incident reports received for the period 7/18/2021 to 7/25/2021 involving resident (R1). 911 was called for each of these incidents. LPAs toured the facility in part to include the lobby, dining room and Compass Rose Memory Care area and outdoor courtyard. LPAs interviewed ED and two staff LPAs reviewed resident (R1's) records to include physician reports, health and services evaluation reports, service plan and physician communications. R1 transitioned from Assisted Living to Memory Care unit on 7/15/2021. R1 exhibited exiting behaviors from the Memory Care unit. Staff were monitoring R1's transition. Family and primary care provider (PCP) were notified of changes in condition. Care conference was held to discuss plan of care. Staff directed to contact 911 in the event of emergency and for safety of residents in care and staff. No citation issued per the California Code of Regulations Title 22. Reviewed the report with Billy Mitchell, Executive Director and a copy provided.