Facility Evaluation Report

Licensing Program Analysts (LPAs) Melana Llopis and Kevin Mknelly arrived at the facility unannounced on 08/30/2021 to conduct a Case Management- other visit.

Prior to visit, LPAs completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; upon entry completed a facility risk assessment. LPAs ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Masks. Additionally, LPAs were screened by Vanessa Jones, staff, upon entering the facility.

LPAs met with Administrator, Alicia Rist and explained the purpose of the visit was to deliver additional civil penalties regarding the findings delivered on 04/08/2020.

On April 8, 2020, the Department concluded a complaint investigation and substantiated an allegation that the facility staff failed to respond to resident's call button in a timely manner. The resident (R1) was later found deceased when staff arrived.

The allegation was substantiated, and the licensee was cited for violating California Code of Regulations (CCR) Title 22, § 87468.2(a)(8)- Additional Personal Rights of Residents in Privately Operated Facilities (a)(8) “In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse” as R1 had called for assistance approximately 40 minutes before staff responded to R1’s call.