Follow-up on corrections·December 9, 2024

Licensing Program Analyst (LPA) Angela Barutyan conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20241206113504). The purpose of the visit is to issue a citation for deficiencies observed during the initial complaint investigation. During the visit on 12/09/2024 between 10:30AM – 11:20AM, LPA reviewed four (4) resident files and observed Resident #1 (R1) and Resident #2 (R2) with a dementia diagnosis without a current physician’s report for 2024 (both dated 08/17/2022). Administrator Holly Gold stated that the residents are seen by hospice nurses and doctors and that the forms have been sent to the doctor to be filled out. However, Administrator was unable to provide physician’s reports for 2023. R1 and R2 also did not have current appraisals of needs and services with R1’s dated 03/19/2021 and R2’s dated 09/03/2021. Administrator stated that they have R1’s current appraisal and provided LPA with an unsigned copy dated on 03/21/2024. Administrator signed the copy today, 12/09/2024, with the date 03/21/2024, but resident or responsible party of resident remained unsigned at the time of the visit. Administrator stated that the appraisal has been reviewed with R1’s family. The following deficiency was observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22. Administrator was informed that failure to correct deficiency may result in civil penalties. Exit interview was conducted. A copy of the report and appeal rights were provided.