Facility Evaluation Report

On 5/25/2022 at 11:20 AM, Licensing Program Analysts (LPAs) L. Francisco and K. Nguyen arrived unannounced to conduct a Case Management visit. LPAs met with Administrator, Nancy Tayag and explained the purpose of the visit.

During the course of investigation for complaint (#15-AS-20210909122733), the following deficiency was observed.

Interview with staff indicated staff were aware of R1's four wounds; one sore on each heel, one on buttocks and one on right heel. Staff confirmed the wound was not healing and did not seek medical attention for R1's buttocks and leg. In addition, facility did not notify responsible party nor submitted an incident report to CCLD..

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties.

Exit interview conducted with Administrator. A copy of this report and appeal rights provided.