Facility Evaluation Report

On 7-27-23 at 1pm, a meeting was held with Licensee to review previous engagements by Department’s Technical Support Program (TSP). This meeting was held virtually via Teams Meeting. Present at this meeting were Licensing Program Manager (LPM) Liza King, Licensing Program Analyst (LPA) Michael Bilger, and Licensee Adetayo Kokumo. Topics discussed in this meeting included (1) Care and Supervision, (2) Record Keeping, and (3) Incident Reporting.

TSP conducted engagement meetings with Licensee on the dates of 1/31/23, 3/29/23, and 3/30/23. TSP addressed care and supervision to included licensee’s assurance of following Title 22 regulations regarding prohibited health conditions and the challenges regarding the acceptance of residents with such conditions resulting in non-compliance. TSP provided training resources and other recommendations. Licensee stated during the meeting that she will continue to provide more detailed assessments for new and on-going residents in care to ensure Licensee and staff are able to meet care and supervision needs.

TSP addressed record keeping as an area of focus for Licensee due to history of non-compliance. TSP addressed the challenges with licensee conducting and documenting resident assessments and re-assessments. TSP provided training resources and other recommendations to aid in Licensee’s future compliance with this regulated section. {Cont. on 809C}