Facility Evaluation Report

On 8/31/23 at approximately 10am Licensing Program Analysts (LPAs) Maja Jensen and Jennifer Fain arrived at facility unannounced to conduct a case management visit related to acceptance and retention limitations. LPAs Jensen and Fain met with Co-Administrator Arvin Davis and explained the purpose of today's visit.

On July 14, 2023 the facility submitted an exception request to accept a resident with a gastronomy tube, a prohibited health condition. The Department reviewed the documentation submitted and determined that the resident in fact had multiple prohibited conditions and expressed those concerns to the Licensee. Based on an interview with co-administrator Arvin Davis, the resident was admitted on 7/30/23 despite not having received an approval from the Department. LPAs requested the resident file for review and observed that under section 8, the care home has "a sound monitoring device in the home to monitor residents during times that staff may be outside of the home or in separate laundry room."

Furthermore, during the course of the visit LPAs Jensen and Fain observed a staff member on duty who, according to Arvin Davis is not associated to the facility.

Technical assistance was provided on prohibited health conditions. Deficiencies are being cited from the California Code of Regulations (CCR). Civil Penalties are also being assessed.

An exit interview was conducted and a copy of this report, an LIC 811, and appeal rights were given.