Facility Evaluation Report

Licensing Program Analyst (LPA), Kristina Ryan conducted a case management visit to cite for a deficiency observed while completing a records review for a complaint. LPA met with Licensee, Kimberly Withers, and discussed the purpose of the visit.

While reviewing records for a complaint, LPA found that Resident 1 (R1) was admitted and retained with a diagnosis and symptoms of a contagious infection. Interviews with facility staff revealed that the staff were aware that (R1) had a history of this infection, and symptoms of the infection began the same day that R1 moved in.

A deficiency is being cited pursuant to Title 22, Division 6, Chapter 8 of the California Code of Regulations and is listed on an LIC 809-D.

An exit interview was conducted, and this report was discussed with the licensee. A copy of the report, LIC 809-D, and Licensee/Appeal Rights (LIC 9058 01/16) will be emailed to the licensee following the visit. Acknowledgement of receipt of the documents is requested upon receipt