Facility Evaluation Report

While conducting a complaint investigation, Licensing Program Analyst (LPA) Chris Arnhold observed the following violations. LPA reviewed hospice documentation and observed a care plan requiring 2 staff to provide assistance at all times while resident was being assisted with bathing. Due to staffing levels, staff would assist at the beginning of a shower, then leave only 1 staff in shower room, then return later to assist after shower was completed.

LPA observed that several activities scheduled during the months of March and April were not conducted due to lack of staff. On April 7, 2022, facility caregivers were instructed to conduct activities instead of providing assistance with the needs of residents. Based on interviews conducted, those activities were not conducted due to lack of staff.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Angie Smith and Appeal rights were given.