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Staff interviews revealed that staff are aware of their responsibilities to report any incidents with residents within the facility to licensing within the required timeframe based on the incident. Staff 2 (S2) admitted that they have not kept up with their responsibilities of sending required reports to licensing. Staff 4 (S4) admitted they did not report suspected neglect of a resident due to the outcome of meetings with the family and their wishes.
Records review revealed Community Care Licensing Division (CCLD) has not received incident reports from this facility since November of 2025. S2 was able to provide the reports that were missing showing that the facility is keeping up with their required reporting within the facility but not sending those reports to CCLD as part of their licensure requirements.
Based on relevant interviews and records review, the preponderance of evidence has been met that alleged violation(s) occurred and are therefore substantiated. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D).
A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Scottie Geno, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided. |