Facility Evaluation Report
Capacity4
Census4
Date signed01/29/2022 03:02:42 PM
Licensing Program Analyst (LPA) conducted an unannounced case management visit to this facility to issue a deficiency in connection with complaint control no.: 31-AS-20200911123028 wherein the facility retained Resident #1 (R1) on 07/16/20 to 08/14/20 with stage 3 pressure sore injury without hospice or home health services.
Citation issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report issued.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction