Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct a case management visit in conjunction to complaint 22-AS-20241028152659. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Uldarico Almiranez and discussed the purpose of the visit.

During the investigation of complaint 22-AS-20241028152659, it was revealed that Resident #1 (R1) had a stage 4 pressure wound and was not being treated by a medical professional.

The Department reviewed R1s medical records from October 26, 2024, through November 2, 2024. R1 was admitted to the hospital on October 26, 2024 and a pressure injury was found on R1s coccyx and was diagnosed to be a stage 4 pressure wound that required daily wound care and dressing changes with repositioning every 2 hours.

Upon interviews with AD and Staff #1 (S1) it was revealed that facility staff were treating the wound only.

Based on information gathered and interviews conducted a citation is being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with LIC809D, 811 and appeal rights were left at the facility.