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13 | At approximately 9:20 AM, Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced initial complaint visit in response to the above-mentioned allegations. LPA met with Staff#1 (S1), who granted access to the facility. Entrance interview conducted.
During investigation LPA conducted a physical plant tour at 9:30 AM. LPA interviewed two (2) staff and four (4) out of four (4) residents between 10:14 AM to 11:47 AM. Between 11:48 AM and 12:00 PM, LPA requested and reviewed copies of pertinent information, which included, but were not limited to, LIC 500 (Staff Roster), LIC 9020 (Client Roster), R1’s Physician’s report, Admission Agreement, Identification and Emergency Information, Inventory record of personal belongings, and other documents relevant to the investigation. In addition, at 1:10pm, LPA spoke with R1’s family member/responsible party over the phone.
Continue to LIC 9099-C |