Follow-up on corrections·October 19, 2023

Licensing Program Analyst (LPA) Teresa Camara conducted a case management - deficiencies visit due to a deficiency observed during the course of a complaint investigation (complaint control number 29-AS-20231012084108). LPA met with acting Executive Director (ED) Karen Enciso, LVN, and explained the reason for the visit. At 10:53 a.m. LPA reviewed and obtained pertinent records and while meeting with the ED. At 12:00 p.m. LPA observed Resident 1 (R1) in the dining room. Starting at 12:10 p.m. LPA conducted interviews with staff 1 (S1), staff 2 (S2), staff 3 (S3), and staff 4 (S4). Resident 1 (R1) was admitted to this facility in May of 2022. R1's physician report dated 5/10/2022 indicates R1 needs full assistance from facility staff for all activities of daily living: bathing, dressing, toileting, feeding and managing cash resources. R1's family manages the cash resources. During interviews with the ED and staff, they confirmed R1 needs full assistance with all R1's care needs. LPA observed R1 in the dining room during lunchtime. R1 was fully assisted with eating and drinking. LPA observed S4 cutting food, feeding R1 with a fork and picking up R1's glass which had a straw so R1 could take a drink. R1 did not handle any food, utensils, cups or glasses. During interviews with staff it was revealed R1 is unable to take their own medications. Medication Technicians must either put the medications on a spoon into R1's mouth or use a medication cup to pour the medications (pills/capsules) into R1's mouth, followed by holding a glass with a straw so R1 can take a drink. Based on the records reviewed and interviews, R1 depends on others to perform all activities of daily living and appears to need a higher level of care. The following deficiencies were observed (see LIC 809-D) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.