Senior Care Records.

Facility Evaluation Report

Wrc-1, Ben Lomond01/17/2024Licence 445200582

Capacity34
Census34
Date signed01/17/2024 10:11:34 AM
The inspector’s account

Licensing Program Analyst (LPA) Monter arrived to the facility unannounced to conduct a case management visit regarding resident R1's eviction. LPA met with Administrator Megan Miller. LPA explained the purpose of the visit.

On December 15, 2023, the department received an eviction notice letter notification from the facility. The eviction letter stated, " Based upon a reassessment of the Resident's needs including mental health and medical conditions, conducted pursuant to applicable regulations, the Licensee or Administrator of the facility and the person who performs the assessment determine that the facility is not appropriate for the Resident and the Resident has been given the opportunity to relocate."

According to Title 22 code of regulations, 85068.5 Eviction Procedures (a)(4) A needs and services plan modification has been performed, as specified in Section 85068.3, which determined that the client's needs cannot be met by the facility and the client has been given an opportunity to relocate as specified in Section 85068.3(b)(3).

On January 4, 2024, LPA spoke with ADM. ADM stated the facility did the reassessment, but did not have documentation. ADM stated it wasn't policy/ normal step. ADM did send Functional capability forms for R1.

On January 12, 2024, the department received an updated needs and services plan, for resident R1, dated January 12, 2024.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction