Follow-up on corrections·January 20, 2023

Licensing Program Analyst (LPA) Ashley Smith conducted an unannounced Case Management-Deficiencies inspection visit at the facility today due to deficiencies observed during the investigation of complaint control #29-AS-20221107092639. During the course of the investigation of the above noted complaint, it was discovered that the licensee failed to report an incident that took place on 11/02/2022, where Staff #1 (S1) physically assaulted Resident #1 (R1), which resulted in bruising. Interviews confirmed that this incident was not immediately reported to R1’s responsible party, with many concluding that they believed the Administrator would contact R1’s responsible party or R1’s primary care physician. However, it was revealed that R1’s responsible party was made aware of this incident when they were contacted by the local police department. Prior to the 11/08/2022 visit made by the Department, the facility did not submit an unusual incident report nor contact the Department to report the incident. Lastly, staff did not fulfill their Mandated Reporter requirements in reporting this incident to the local police department or local ombudsman within twenty-four (24) hours of the incident. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted, today's reports and appeal rights were reviewed and issued.