Facility Evaluation Report

At approximately 1:05 PM, an office informal meeting was conducted today in the Santa Rosa Regional Office. The following individuals were present in the meeting: Licensing Program Manager (LPM), Bethany, Licensing Program Analyst (LPA), Julie Florio and Star Stevenson and Administrator Anny Camerino and licensee Cesar Camerino.

The purpose of today's meeting is to deliver findings of a complaint investigation and discuss a self-reported incident report to Community Care Licensing (CCL) on 3/27/2025. The incident report received informed that Resident's (R1) pressure injury was observed to have "gotten worse.” 3/26/2025 R1 was sent out 911 due to on-going pressure injury and additional change of condition. LPAs requested additional documents and upon review it has been determined that the facility retained R1 with a prohibited condition and failed to seek timely medical. On 3/14/2025 R1 was admitted to the LuvinHome facility with, per Skilled Nursing Facility (SNF) discharge documents on 2/11/2025 with a stage 4 pressure injury on sacral region. Medical assessment obtained, dated 1/23/2025 indicates a stage 2 pressure injury in same location. Preplacement assessment dated 3/6/2025 does not document any wound. Upon discharge from SNF, document dated 3/14/2025 was provided to facility indicating stage 4 pressure injury and discharge orders for home health. From admission to Luvinhome on 3/14/2025 to R1 being sent out 911 on 3/26/2025, R1 had no home health or wound care resulting in wound getting worse. R1 was admitted to the hospital on 03/26/2025. Administrator informed that there were attempts to contact physician to implement home health but were unsuccessful.

An immediate $500 civil penalty is being issued today. The administrator and licensee was informed that civil penalties are under review by the Department per Health and Safety Code 1569.49 (f).

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.