Facility Evaluation Report

Licensing Program Analysts (LPAs) Christine Dolores and Manuel Monter arrived unannounced to conduct a case management – deficiencies visit due to a violation found during a complaint investigation for control number 26-AS-20230619164800. LPAs met with Administrator, Kaitlyn Brownell.

During the complaint investigation, it was found that the Administrator had purchased resident (R1) a new mattress using R1’s cash resources also known as P&I money. Based on interview with the Administrator, the facility provides mattresses during new residents admission. R1 already had a mattress that was purchased by the facility, however, the Administrator purchased R1 a new mattress using R1's P&I money because R1's P&I money was reaching the maximum amount. The conversation regarding the purchase of a new mattress was discussed during a meeting. See Complaint control number 26-AS-20230619164800 for additional information. The new mattress that was purchased was described to be a hybrid 14" plush mattress.

The review of R1’s Admission Agreement states the facility’s basic general services includes a “comfortable and suitable bed including fresh linen weekly or more often…”.

Based on record review, on 04/29/2023 the facility documented the purchase of the mattress on R1’s P&I log.

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

This report was reviewed with Administrator, Kaitlyn Brownell and a copy of the report and appeal rights were provided during visit.