Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter and Marcella Tarin arrived unannounced to deliver the results of a complaint investigation. During the complaint investigation, a case management deficiencies visit was conducted due to violations discovered during the investigation process. LPA met with Community Director(CD), Michelle White

While investigating the complaint 26-AS-20241119153013, LPAs obtained and reviewed staff daily notes for R2 had a previous incident documented on 8/16/2024, where R2 had aggressive behavior involving foul language and being physically too close to another resident

CD stated its tough with R2. CD stated in instances where this happens, R2 is the resident who reacts. CD stated the facility tries to keep R2 with residents who wont bother him/her, which include residents who are more touchy. CD stated the facility also seats R1 when eating with residents who won't disturb him/her. CD stated he/she didn't add this information he/she told LPA during todays visit to R2's care plan.

LPA reviewed R2’s Appraisal/Needs & Services (ANS) December 27, 2023. Based on a review, this ANS, it does not address R1's aggressive behaviors or how the facility will address this behavior that R2 exhibited.

Based on a review of R2's Physicians December 27, 2023 with a primary diagnosis of neurocognitive disorder, associated with a mental condition of ‘confusion, inappropriate behavior and aggressive behavior.

Deficiencies are being cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with Community Director, Michelle White and a copy of the report and appeal rights were provided.