Follow-up on corrections·August 30, 2022

Licensing Program Analyst Willis arrived unannounced to conduct a Case Management inspection and met with Licensee, Arthur Alcones. During investigation LPA discovered deficiencies that were not part of the complaint. Interviews revealed that the Licensee verbally communicated care changes to the responsible party of a resident in June 2022 but there is a discrepancy of whether a rate change was discussed. A letter dated 6/22/2022 from the Licensee notified the responsible party of the rate change but per interview, the letter was not provided to the responsible party until 7/1/2022. Per interview, the appraisal dated 7/1/2022 was included with the letter. The responsible party had previously paid the lower care rate for July 2022 so the difference was due. A second and third notice followed on 7/7/2022 and 7/8/2022. The responsible party was then given a 30-day notice of eviction dated 7/10/2022 due to non-payment of fees and indicating that the facility was no longer able to meet the care needs. An updated appraisal was not provided supporting that the facility was no longer able to meet the care needs. Per Licensee, they provided the letter to the responsible party on 7/11/2022. Per interviews, on 7/10/2022, the responsible party attempted to give payment to facility staff who refused the payment and instructed the responsible party to mail the check to the address on the Admission Agreement despite the facility accepting payment in this way previously. Per Admission Agreement, payment can be made by sending a check to the listed mailing address however, it also allows for individuals to submit payment at the facility. The responsible party provided payment to the address indicated on the Admission Agreement but was not notified until July 27, 2022 that the eviction had been rescinded despite being notified of their obligation to notify the resident and their responsible party by this LPA multiple times. Continued on LIC809C Continued from LIC809 During investigation LPA conducted a review of facility’s current Admission Agreement which was part of the facility’s approved program design and was being used by the facility. Review revealed that certain language does not meet Title 22 regulations. Because this language was not previously identified by the Department, Licensee will not be cited but will be required to submit a revised Admission Agreement for further review and approval to the CCL SRRO by 9/16/2022. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.