Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced case management visit due to the deficiencies noted during a visit to the facility today.

The following was observed during today's visit:

Hospice services were initiated for Resident #1 on 11/8/24 and it was not reported to the Department within 5 days as required

Oxygen is in use by Resident #1 and the Licensee did not report it in writing to the fire department.

The incident and hospitalization of Resident #1 was also not reported to the Department but they have till the end of today to file the incident report.

Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8

Exit interview was conducted, Appeals Rights discussed and a copy was given.