Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the care home and met with Administrator, Shanice Downer, to conduct a POC visit following citations issued during inspections conducted the previous week.

LPA verified the facility has a certified Administrator assigned and associated to the facility. LPA reviewed records at the facility to be complete. LPA cleared deficiencies during inspection.

During visit, LPA reviewed Admissions Agreement Addendum placed in resident records. LPA observed under "Refund Conditions (...) No refunds are given for those that are admitted under 'Hospice Services.'" Per Health and Safety Code §1569.652(c), “ A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual, individuals, or entity contractually responsible for the fees or, if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed.” Per Title 22, Division 6, Chapter 8, Section 87507(h)(4), “The admission agreement shall not contain the following: Any provision that violates the rights of any residents including but not limited to those specified in Section 87468 and in Health and Safety Code section 1569 et seq.”

As a result of today's inspection, a deficiency is being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiency is listed on 809-D pages.

Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.