Senior Care Records.

Facility Evaluation Report

Hampton Guest Home, INC., Pasadena06/06/2023Licence 197603680

Capacity6
Census6
Date signed06/06/2023 02:01:57 PM
The inspector’s account

Licensing Program Analyst(s)(LPA) Mary Flores conducted a case management visit at the facility to give deficiencies found during a complaint investigation. LPA met with Jeffrey Yang and explained the reason for the visit.

During file review for a complaint investigation conducted on 6/6/23, LPA discovered annual medical assessment for resident #1(R1) was last conducted on 4/26/19. Per Title 22 Regulations residents with dementia are to have an annual assessment.

The facility failed to obtain an annual medical assessment for R1. Therefore, deficiencies are being noted on LIC 809D per Title 22 Regulations.

Exit interview was conducted with and a copy of this report, LIC 809D, and appeal rights were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction