Facility Evaluation Report

Licensing Program Analyst (LPA) Javina George made an unannounced Plan of Care (POC) visit to confirm the whereabouts of Resident #1 (R1), as they were to return to the facility as apart of the plan of correction for complaint control # 18-AS-20230602124116. LPA was greeted and granted entry by Leocardia Ogolla, Caregiver. The administrator was available via telephone as they had a personal appointment, during the time of LPAs visit and was not able to come to the facility. LPA conducted a tour of the interior and the exterior of the facility, and observed the following deficiencies:

LPA observed for Resident #1(R1) to not be at the facility and was informed that R1 was no longer at the facility. Department staff verified that R1 was at the hospital and that they are still ready to be discharged. The hospital staff reported that the Licensee Ms. Okoro is not engaging in attempts to discharge R1 back to the facility, as she is not accepting or returning their phone calls. Ms. Okoro confirmed that she has not picked up R1 from the hospital and claims that the window had not been repaired and that R1's bed was picked up by the insurance company, preventing from having R1 to return to the facility. Due to the POC not being corrected, the following deficiencies were not corrected by the POC due date of 6/7/23, nor at the time of LPAs visit. Civil Penalties are being assessed and will continue to accrue until correction has been submitted: Deficiency is being cited under Title 22 Regulation 87468.2. The POC was to accept R1 back at the facility by 6/7/23. In addition the Licensee was to work with the hospital to ensure that R1 was returned to the facility. Civil penalties are being assessed for the dates of 06/07/2023 to 06/09/2023 in the amount of $100 per day covering the notes days, for a total of $200.00. Civil penalties will continue to accrue at the rate of $100 a day until proof of POC, is submitted.

-Department staff conducted an interview with the Ms. Okoro in regards to R1 returning to the facility. Per Ms. Okoro the POC was met as R1 was admitted to another facility, as she was contacted by another facility regarding R1. The department contacted the other facility and learned that R1 was not admitted and had not reported that they were admitting R1 to the facility. Department staff verified that R1 was still at the hospital.