complaint·November 12, 2021

(...Continued from LIC 9099...) On 11-12-2021, at 11:56 am, LPA Guzman Chavez conducted an interview with the Administrator, and conducted resident file review for four (4) residents at 12:25 pm. Resident file review revealed that R1 was admitted to the facility on 09-25-2021; however, the LIC 602 containing the TB test was missing. Interview with the Administrator revealed that, they have not been able to receive the LIC 602 from Kaiser. In addition, the facility does not currently have a working fax machine but gave Kaiser two (2) different emails to send the report to. But, the facility has yet to receive any medical documents from the hospital. Based on interviews and resident file review, the allegation that “facility did not obtain a Physician’s Report prior to admission of a resident at the facility” is deemed Substantiated at this time. Pursuant to Title 22, California Code of Regulations, the following deficiency will be cited (refer to LIC 9099-D) Exit interview conducted, citations issued, appeal rights discussed, and a copy of this report sent via email.