1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Manager (LPM) Denise Powell and Licensing Program Analyst (LPA) Esther Miller, conducted an unannounced Case Management visit. LPM and LPA were allowed entry into the facility after identifying themselves and explained the purpose of the visit with Marisol Barajas, Business Office Manager. During the visit, Cameron Azemikhah, Assisted Living Director, arrived to provide additional information regarding these incidents and pertinent facility records.
The facility submitted self reported SOC341 reports that were received at the San Diego Regional Office on October 19, 2021 and November 18, 2021 regarding theft and loss incidents involving Residents R1 and R2 (see LIC811, Confidential Names List). LPA requested Administrator submit Unusual Incident Reports (LIC624) as is required and provided additional guidance on reporting requirements. During today's visit, LPA obtained relevant records and resident contact information and interviewed Administrator. No deficiencies were cited during this visit.
An exit interview was conducted with Assisted Living Director, and a copy of this report, LIC811 form and Licensee Appeal Rights (LIC9058) will be emailed for facility records. |