Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the case management – incident visit. LPA met with Administrator, Abraham Longoria.

On 06/15/2023, the Department was made aware of a resident (R1) who passed away at the facility under hospice care services. Hospice care pronounced the death, and the mortuary was contacted for further arrangements.

Per the report, the family’s wishes were for R1 to pass away comfortably at the facility. R1’s family was in contact with the hospice care agency to sign required documents to ensure R1’s wishes. The facility was provided documents from the hospice care agency.

Upon review of the facility’s file, the facility was not granted a hospice care waiver from the Department. On 06/19/2023, the Administrator was contacted who confirmed the facility does not have an approved hospice care waiver. Administrator was advised and provided information on how to request for a hospice care waiver from the Department.

Documents were obtained during visit to include R1's hospice care documents.

A deficiency is being cited per California Code of Regulations, Title 22. See LIC809-D.

This report was reviewed with Administrator, Abraham Longoria and a copy of the report and appeal rights were provided.