Complaint Investigation Report

After talking to staff and reviewing records LPAs got to the understanding that the staff is only communicating verbally about changes on the residents between them and to the Administrator. No written reports nor notations are being logged or recorded between outside companies and the facility.

For Resident #1 (R1) most recent needs and service appraisal was dated on 06/01/2021. Administrator stated that there was a change of condition by R1 being on and off hospice and home health service however no information nor paperwork was found in R1's folder. Resident #2 (R2) admitted to the facility prior to change of ownership file didn't have a service appraisal.Based on interviews and records reviewed, LPAs have determined there is sufficient evidence to substantiate the allegations of staff not properly observed and respond to resident's change of condition.

Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiency is cited (refer to LIC 9099-D.) Administrator was informed that failure to correct the deficiency may result in civil penalties.

Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.