Facility Evaluation Report

On 8/31/23 at approximately 2:30pm Licensing Program Analysts (LPAs) Jennifer Fain and Maya Jensen arrived at facility unannounced to conduct a case management related to an Incident Report received for resident 1 (R1). LPAs met with Licensee Thelma Enriquez and explained the purpose of today's visit.

LPAs interviewed Administrator and reviewed resident file. Based on interview and file review resident was at the facility with a stage 4 pressure wound until he was admitted to the hospital on 8/17/23. Stage 3 and 4 pressure wounds are prohibited conditions.

During the course of the file review it was also noted that the IPP was dated 1/6/22.

Technical Advice was given on pressure wounds and a pressure wound guide was given to administrator,

Pursuant to the California Code of Regulations, Title 22, and California Health and Safety Code, deficiencies were observed and cited on the LIC 809D

An exit interview was conducted, and a copy of this report, LIC 811 and appeal rights was provided to administrator..