Facility Evaluation Report

Licensing Program Analyst (LPA), Mayra Cota, conducted a Case Management – Deficiencies visit today. LPA met with Brianna Fierro, Med-Tech and the purpose of the visit was explained.

During today’s visit, a deficiency was noted during complaint investigation and cited under the following section:

CCR 87457(c)(3) – Pre-Admission Appraisal . During record review it was noted that there is no indication that Resident 1’s Preplacement Appraisal was completed appropriately because the appraisal the facility provided to the department for review is missing a signature from Resident 1 and/or authorized representative.

Exit interview was conducted and a copy of the report, LIC 809-D and Appeal Rights was provided.