Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Michael Rosete.

The purpose of the visit was to cite the facility for deficiencies found during a complaint investigation that the department received on 10/07/2024.

During the investigation, it was found that resident R1's Physician's Report did not have a "Yes" or "No" checked on the "Special Diet" row. R1's Appraisal/Needs and Services Plan does not detail the support R1 needs with Activities of Daily Living (ADL), transferring, special diets, and food requirements. R1's Appraisal/Needs and Services Plan does not have a signature from the client or resident's authorized representative.

A deficiency was cited as per California Code of Regulations Title 22. See LIC809-D page for more information.

This report was reviewed with Michael Rosete and a copy of this report and appeal rights were provided.