Follow-up on corrections·November 3, 2022

On the date and time listed, Licensing Program Analyst (LPA) Nasha King arrived at the facility to conduct an inspection for a separate purpose. This Case Management Visit is being conducted to address a separate issue that was discovered while gathering information during a complaint investigation (Complaint Control Number 10-CC-20221003170152). LPA toured the facility, took census, and spoke with the Licensee regarding the Department\342\200\231s Reporting Requirements. LPA King learned that on 09/19/2022 a child, while in the Licensee\342\200\231s care, suffered an injury that required medical attention. The Licensee failed to report the incident to Community Care Licensing (CCL), and the Licensee disclosed the incident only after LPA King made contact with her on October 10, 2022, while conducting an initial 10-day inspection at the residence. LPA verified that a report was not made via telephone or fax the next business day nor was a written report submitted to CCL within seven days following the incident. As of 11/03/2022, the Department still has not received an Unusual Incident Report (UIR) for the incident that occurred on 09/19/2022. The facility was found to be in violation of Title 22 Regulations. See LIC 809D for deficiency cited. An exit interview was conducted, and this report was reviewed with the Licensee, Wendy King. A copy of the report was also provided. Appeal rights were discussed and provided during the exit interview. A Notice of Site visit was given, and the Licensee understands that it must remain posted for 30 days.