Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-NP-20220311163324). The purpose of the visit is to issue a citation for a deficiency observed during the complaint investigation.

During the complaint investigation of complaint # 29-NP-20220311163324, the following deficiency was observed: On 12/31/2021, the facility had a power outage approximately between 9:00am and 7:00pm. Interviews conducted revealed these incidents typically get reported to Community Care Licensing (CCL) and to the persons responsible for the residents. However, the incident was not reported to either CCL or the persons responsible for the residents as resident’s family members walked into the facility on 12/31/2021 and were not aware of the power outage and CCL does not have any record indicating it was reported. Furthermore, the facility was unable to show documentation indicating power outage was reported within 24 hours either by telephone or facsimile as required by the California Code of Regulations.

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

Exit Interview. Citation issued. A copy of the report and appeal rights were given to the ED.