Follow-up on corrections·September 11, 2024

On 09/11/24, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility at approximately 9:30 am regarding an eviction request. LPA Campbell met with Administrative Assistant Krystal Calderon and Care Coordinator, Dawn Pero and explained the purpose of the visit. LPA Campbell also spoke with Administrator Nicole Ell by phone. On 09/06/24, Administrator/Licensee Nicole Ell submitted a copy of an eviction notice that would be provided to a resident (R1). After review, it was found that the facility needed to increase documentation of their search for an alternative placement (what places have been visited? their cost? can R1 afford it?). The facility should also provide detailed documentation of their attempts to help R1 find a new living situation (the name of the facilities, dates of visits to new facilities, details of refusals by R1 to visit a new facility.) In an attempt to help R1 resolve his behavioral issues, the facility will need to document contacts with R1’s psychiatrist using R1’s Medical Release Confirmation form. The facility must also write a plan if R1 cannot find a place to his liking within the 30 day timeframe. LPA Campbell consulted with both staff and the Administrator and explained that the purpose of the eviction procedure was to make sure client needs are met by ensuring an appropriate facility is found. LPA Campbell spoke to Administrator Nicole Ell to clarify the Reporting Requirements and the importance of being familiar with Title 22 Regulations. Per Title 22, written reports or Unusual Incident Reports (UIR) are to be submitted to licensing within 7 days. On 09/06/24, the facility emailed faxes (for incidents that occurred on 08/22/24 and 08/23/24) that had not been faxed until more than 7 days after the incidents. No further attempts were made to send the reports to licensing. When appraisals were discussed with staff. S1 and S2 stated that S2 does an pre-admission appraisal, S1 creates a Care Plan and S2 does a re-appraisal as needed. Both staff stated they were not trained medical or behavioral specialist. Per S2, no medical personnel are involved in reappraisals or assessment for mental health issues when admitted to the facility. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiency is being cited on the attached 809-D during this visit. An exit interview was conducted, and copies of the report and appeal rights left.