Facility Evaluation Report

On 09/29/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted a case management inspection visit at this facility. LPA met with House Manager Lucy A. Dezell and explained the purpose of the visit.

During an investigation visit on 09/29/23 associated with complaint #11-AS-20230911101639, LPA, was informed that hospice file records for resident #1 (R1) were not available. LPA was informed by administrator Virginia Asis that (R1) was no longer a resident and was uncertain of the date when (R1) was discharged and had to confirm with the business office. The facility did not have discharge paperwork available nor hospice file and Medication Administration Records (MAR) for all residents. The facility did not have available during the investigation visit on 09/14/23 and 09/28/23 a Personnel Report LIC 500 was not provided.

Based on the information provided by the administrator, the facility violates the California Code of Regulations (Title 22, Division 6, Chapter 8), deficiencies were observed, and citations were issued (ref. LIC 9099-D).

An exit interview was conducted and a copy of the Evaluation Report and Appeal Rights were provided to Lucy Denzell.