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25 | On 11/03/21, Licensing Program Analysts (LPAs) L. Salazar and M. Thao arrived at the facility unannounced to deliver findings on complaint allegations. LPAs were greeted at the front desk where COVID precautionary measures were taken. LPAs stated the purpose of their visit and were allowed entry to the second floor.
During the course of the investigation, LPAs toured the facility, observed medication carts, staff training records and obtained documentation for records review.
Due to computer difficulties, facility was unable to retrieve some of the documentation requested. Based on the records that were reviewed, LPA Salazar provided Technical Violations (TV) for California Code of Regulations (CCR), Title 22, Division 6. See attached 9102 and 9102-C.
LPA reviewed Hospice Care Plans with Staff S1, Staff S2 and Staff 3 and identified areas in the plan that may need to be addressed through training and/or plans of care. Technical Assistance (TA) for the following : Hospice Care; Pressure injuries, Medications Guide, and RCFE self assessment guide and
Exit Interview conducted with facility Executive Director (ED), Manager of Memory Care Unit (S1) and Wellness Coordinator (S3). No deficiencies cited on today's case management inspection. |