Facility Evaluation Report

Licensing Program Analysts (LPAs) Esther Cortez and Zabel Chochian conducted an unannounced Case Management – Deficiencies visit on 03/23/2023, in conjunction with complaint control #29-AS-20230315122126.

During the course of the investigation of the above noted complaint, it was discovered the administrator did not do the following:

-obtain a hospice care plan for Resident #1 (R1) and Resident #2 or retain any hospice records

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency cited (refer to LIC 809-D):

Exit interview conducted, today's reports and appeal rights were reviewed and issued to administrator