Complaint Investigation Report

The investigation revealed the following: regarding the allegation "staff did not ensure that a needs appraisal was conducted for resident upon admission”, it is alleged that facility did not do a pre-appraisal and appraisal/needs and services plan for R1 upon admission. Interview with the Operations Manager revealed that per their records R1 was admitted on 10/10/2019 and a pre-appraisal and appraisal/needs and services plan was completed on 11/27/2019. The Operations Manager was hired on 11/16/2022 and thus could not provide a reason why the pre-appraisal and appraisal/needs and services plan was completed a month after R1’s admission. Staff interviewed could not provide a reason either. Residents interviewed could not corroborate with the allegation. LPA reviewed R1’s pre-appraisal and appraisal/needs and services plan and confirmed that the pre-appraisal and appraisal/needs and services plan was completed on 11/27/2019 and that R1 was admitted on 10/10/2019.

Regarding the allegation "facility does not currently have a certified administrator”, it is alleged that the Operations Manager does not have an administrator certificate. Interview with the Operations Manager revealed that he was hired on 11/16/2022 and the earliest administrator courses were available on 12/02/2022 – 12/04/2022 and 12/09/2022 – 12/11/2022. He completed the courses and submitted his administrator application on 12/17/2022. LPA reviewed the administrator certificate application, courses completed and proof of submission to Community Care Licensing Division Administrator Certification Section , and confirmed the Operations Manager's statement.

Based on LPA's interviews and records reviewed, the preponderance of evidence standard has been met, therefore the allegations are found SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 8 are being cited on the attached LIC 9099D.

Exit interview held and a copy of the report and appeal rights was provided.