Facility Evaluation Report

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Marin Terrace for the purpose of conducting interviews and delivering findings. LPA met with Resident Care Coordinator, Stacy Plaster and was granted access into the facility.

During the course of the investigation that was initiated on November 18, 2022, LPA reviewed documents and conducted interviews with staff and learned that Resident #1 had a change of condition which was not documented on paper nor was a proper reappraisal completed (See LIC 809D) . Resident only had the initial assessment which was completed during the intake of the resident into the facility in Mid May 2022 and not for the reappraisal. In addition, during the course of the investigation and the opening of the complaint on November 18, 2022, LPA requested an Admission Agreement and did not receive the Admission Agreement for the facility nor was it kept in the residents file (See LIC 809D) . During the closure of the complaint on December 16, 2022, LPA learned throughout the course of the investigation that the facility did not properly report an Unusual Incident nor was a SOC 341 completed for suspected elder abuse (See LIC 809D) .

Deficiencies are cited from the California Code of Regulations (CCRs), Title 22, Division 6, Chapter 8 and the Health and Safety Code. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with the Administrator and appeal rights were given via email.