Senior Care Records.

Facility Evaluation Report

High Pointe Residences, Fairfield07/11/2023Licence 486803953

Capacity4
Census3
Date signed07/11/2023 05:34:08 PM
The inspector’s account

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct a Case Management - Deficiencies inspection. LPA met with Licensee/Administrator Dante Ward.

LPA arrived to deliver findings on complaint investigation (control# 21-AS-20230407164133) and address deficiencies previously observed at High Pointe Residences.

During record review for a case management - annual continuation inspection dated 03/21/2023, LPA reviewed client's facility files and observed 3 of 4 clients (C1, C2 , C3) did not have an LIC 602 Physician's Report completed or in file. LPA requested client's to be evaluated by their primary physician and to complete the LIC 602 as required and LPA provided a technical violation advisory note on 03/21/2023. Administrator stated they would complete and send to LPA.

LPA opened complaint (control# 21-AS-20230407164133) on 04/11/2023 and observed C1, C2 , C3 still did not have their LIC602 completed as required. LPA requested Administrator have C1, C2, C3 evaluated by their medical physician and submit copies of their LIC602s. LPA received C1's LIC 602 on 04/20/2023 and and copy of LIC602 for C2 on 04/20/2023. However, C2's LIC602 was missing attached forms including C2's Tuberculosis (TB) test results. LPA requested copies of C2's attached forms on 04/20/2023 to verify C2's TB test results, however Administrator did not reply or submit C2's attached medical records that LPA requested.

As of today 07/11/2023, LPA did not receive C3's LIC602 or C2's TB test results. Licensee did not comply with regulation despite several warnings previously provided.

Deficiencies from California Code of Regulations and Health & Safety Code, (Title 22, Division 6 & Chapter 8), is being cited on the attached LIC 809D. Appeal rights provided.

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