Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an case management visit to address information obtained during the complaint investigation 8/15/2023. LPA Rai met with Licensee, Dominica Olivia and stated the purpose of the visit.

During investigation, it was disclosed that the caregivers were providing wound care to resident (R1) and the caregivers are not licensed providers.

During today's visit, LPA interviewed Licensee regarding the issues disclosed during investigation. Licensee stated caregivers who are not licensed providers did change R1's wound care when Home Health nurse were not available and did not see R1 at the facility.

Deficiencies were cited per California Code of Regulations, Title 22, please see LIC 809-D. This report was reviewed with Licensee Dominica Olivia. A copy of the report and Appeal Rights were provided.