Facility Evaluation Report
On 9/23/22, Licensing Program Analyst (LPA) C. Lin conducted a case management visit and met with Administrator and explained the purpose of the visit.
During an investigation conducted by the Department, records review and interview found that subject resident's fall resulted to be admitted to hospital on 9/8/2022 was not reported to CCLD, no record of LIC624 for this incident was found during visit.
A deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalty.
Exit interview conducted with Administrator. LIC809D, appeal rights, and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction