Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to deliver findings on a complaint investigation, where other deficiencies were observed during the course of the investigation. LPA conducted a case management to address the deficiencies. LPA met with Staff Baula Maribel Brizuela. Administrator was not available for the visit. LPA spoke with Staff Oscar Chavez via telephone who assisted with the visit.

During the course of the Departments investigation, it was found the facility did not report R1's contagious diagnosis or R1's hospitalization's.

During the course of the Departments investigation, it was found the facility staff were not following R1's needs and service plan by not assisting R1 with showering.

During the course of the Departments investigation, it was found R1's LIC602 physicians report was not properly filled out by not listing R1's diagnosis or listing the name of the primary physician.

Deficiencies were observed and were cited under Title 22, Division 6. See LIC 809D.

An exit interview was conducted with Staff. A copy of this report, plan of correction and appeal rights were provided.