Facility Evaluation Report

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on a complaint investigation. During the course of the investigation, it was learned that facility could not produce an inventory or waiver for the personal property of former resident, R1. Additionally, facility did not produce documentation that facility followed the Documentation of Loss procedures as outlined in page one of the facility’s Theft and Loss Policies and procedures when it was learned that glasses and hearing aides belonging to R1 were missing. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.