Facility Evaluation Report
On 11/7/24 Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to conduct a case management visit. LPA met with Administrator Kelly Reynolds and explained the reason for the visit.
LPA reviewed R1's file which contains R1's admission agreement showing when R1 signed the admission agreement they were their own responsible party.
LPA reviewed copies of outstanding notices previously given to R1. Statements show a reoccurring balance on each statement, and AD stated there have been multiple verbal conversation with R1 and Ombudsman regarding the situation.
LPA inquired on a death report received for R2 on 10/6/2024. R2 passed on 9/26/24 and a written report should be submitted within 7 days. The 7th day from 9/26/24 would have been 10/3/2024. Deficiency was cited under Title 22.
Exit interview was conducted and a copy of this report LIC809, LIC809D, LIC421FC, and appeal rights were provided to Kelly Reynolds.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction