Facility Evaluation Report
On 01/22/2024 at 11:04 AM, Licensing Program Analysts (LPAs) Melody Brown, Michelle Echeverria and Bianca Wolcott met with Administrator Brandon Marquez to initiate Case Management Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation.
Per documents review during the facility visit today, 01/22/2024, LPAs Brown, Echeverria and Wolcott reviewed documents and interview staffs and observed that Staff #3 (S3) has criminal background clearance but the Licensee/Administrator did not transfer S3's criminal background clearance to the facility. S3 reported to LPAs Brown, Echeverria and Wolcott that S3 started working at the facility on 01/09/2024. Interviews with Staff #1 (S1) and Staff #2 (S2) confirmed that Staff #4 (S4) had been working at the facility since 01/06/2024 and per documents review, LPAs Brown, Echeverria and Wolcott observed that S4 does not have criminal background clearance and S2 reported to LPAs Brown, Echeverria and Wolcott that S4 started working at the facility on 01/06/2024. LPAs Brown, Echeverria and Wolcott informed Administrator Marquez that deficiency will be issued and Civil Penalties were assessed during the facility visit today, 01/22/2024 with the amount of $200.00 will be assessed for allowing S4 to work at the facility without criminal background clearance and $500.00 for S3 working at the facility without criminal background clearance transfer and will continue to be assessed of $100.00 per day per citation until corrected for for not transferring S3 criminal background clearance to the facility. Moreover, documents review also indicated that the facility does not have the records for Resident #1 (R1) and S2 reported to LPAs Brown, Echeverria and Wolcott that S1 admitted R1 to the facility without any documentation. Deficiency will be issued.
During the tour of the facility, LPAs Brown, Echeverria and Wolcott observed that Resident #2 (R2) has full bedrails and per documents review, R2 was not on hospice and no written documentation from R2's physician indicating the need for full bed rail and no full bed rail exemption was submitted to Community Care Licensing Division (CCLD). Deficiency will be issued. *** Continuation in LIC809C ***
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction