Follow-up on corrections·September 23, 2021

On 09/23//2021, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced Case Management Health and Safety visit as directed by the department. LPA met with Administrator Licensee Gurmeel Singh and explained the reason for the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical masks. Additionally, LPA was screened by staff at the front door LPA toured the facility inside and out including but not limited to facility dining areas, outside areas, staff break rooms, kitchen area. LPA observed that the facility has had some renovations done. The following renovations has been completed included; Bathroom remodeled, added counters, cabinets in the kitchen area, new flooring and painting throughout facility, a wall that has been removed, bedrooms and bathrooms has been added. LPA asked Licensee if there was a permit application on the changes to the facility. Licensee reported that “my architect is in the process of getting that completed.” LPA explained to Licensee that when there are any kind of alternations to the facility, licensee needs to report such changes and a permit completed prior to the remodel, which also needs to be approved as well as a fire inspection completed. Licensee reported that he was not aware of having to notify LPA but will from now on. LPA asked about residents in care and where have they been throughout the remodeling. Licensee reported that all residents in care have been removed from the facility in process of remodeling. continue on 809-C LPA requested to see documentation that residents and families have been notified of the movements. Licensee reported that they never provided any documentation regarding the moves and that they have been in contact with all residents and their families verbally. LPA explained to Licensee that LPA will be citing Licensee regarding the unreported alternations in the facility, reporting requirements to LPA on changes, no fire clearance on renovations, and illegal evictions. Licensee understood and reported that he will contact LPA with any changes to the facility from here on out. Deficiencies are cited on LIC 809D. Exit interview conducted and a copy of report along with appeal rights were given