Facility Evaluation Report

On 10/08/2024 at 02:00PM, an informal conference was conducted virtual via Microsoft Teams Meeting. The purpose of this informal conference meeting is to discuss the complaint findings on 05/02/24. Present in the meeting is, Licensing Program Manager (LPM) Troy Ordonez, Licensing Program Manager (LPM) Anthony Perez, Licensing Program Analyst (LPA) Bethany Mirlohi, Licensing Program Analyst (LPA) Cassandra Mikkelson and Licensee/Administrator Balwinder Rai.

The purpose of the informal conference is to have open discussion concerning a complaint that was substantiated for a Resident who sustained (2) stage IV pressure injuries. During this meeting the licensee was made aware that this Informal conference is a part of the Administrative Action process.

The informal conference process was explained during this meeting. Issues discussed during the meeting were:

1. Care and Supervision: The Licensee shall provide care and supervision as necessary to meet the client’s needs.

2. Monitoring Resident’s Condition: Failure to Observe and Supervise the Progression of Pressure Injuries

3. Lack of Communication with Outside Providers: Failure to Collaborate with Home Health

4. Lack of Training: Failure to Ensure Caregivers were Trained in Pressure Injury Prevention