Every finding on record at Hero Home Health Inc.

The following reflects the findings of the California Department of Public Health during a complaint validation survey on 1/3/2024, at an unapproved location at 700 N. Central Ave., Suite 500, Glendale CA, 91203. The old, approved location at 8949 Reseda Blvd., Suite 206 Northridge CA 91324. The inspection was limited to the specific facility event investigated and does not represent the findings of a full inspection of the facility. Complaint Numbers: 101471 and 103580 Representing the California Department of Public Health: Surveyor # 44916, Health Facilities Evaluator Nurse Surveyor # 22303, Health Facilities Evaluator Nurse Unduplicated Admissions - unknown Active Patients - unknown Sample Size - unknown Home Visits- unknown The following Conditions of Participation (COP) not met: 484.100 Compliance with Federal, State, and Local Laws and Regulations Related to the Health and Safety of Patients

Compliance with Federal, State, Local Law CFR(s): 484.100 Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients. The HHA and its staff must operate and furnish services in compliance with all applicable federal, state, and local laws and regulations related to the health and safety of patients. If state or local law provides licensing of HHAs, the HHA must be licensed. This CONDITION is not met as evidenced by: Based on observation, interview, and record review, the Home Health Agency (HHA, an organization that delivers skilled nursing and other therapeutic services [interventions used in health prevention or to promote healing] to a patient at home) failed to meet the Condition of Participation (conditions that health care organizations must meet in order to begin and continue participating in the Medicare [is federal health insurance for people 65 or older, and some people under 65 with certain disabilities or conditions] and Medicaid [a joint federal and state program that helps cover medical costs for some people with limited income and resources programs] for Compliance with Federal, State and Local Law as follows: 1.The HHA failed to notify and disclose to the California Department of Public Health, information on changes in ownership and management. This deficient practice had the potential for interruption of care, services, and misinformation provided to any potential patient(s) admitted to the HHA, their family, and the community. (Refer to G852) 2.The HHA failed to provide information regarding the HHA's current location/address, staff, and management team responsible for managing the day-to-day operation to the California Department of Public Health. This deficient practice had the potential for lack of care and services provided to any patient(s) admitted to HHA and misinformation to the public and the community. (Refer to G858). The cumulative effect of these systemic practices resulted in the failure for the HHA to deliver mandated compliance with Federal (government), State, and Local Law to provide the highest quality of care, and services to the patients certified to receive home health services.

Information to the state survey agency CFR(s): 484.100(a) Standard: The HHA also must disclose the following information to the state survey agency at the time of the HHA's initial request for certification, for each survey, and at the time of any change in ownership or management: This STANDARD is not met as evidenced by: Based on observation, interview, and record review, the home health agency (HHA) failed to notify and disclose to the California Department of Public Health, information on changes in ownership and management. This deficient practice had the potential for interruption of care, services, and misinformation provided to any potential patient(s) admitted to the HHA, their family, and the community. Findings: During an unannounced complaint visit, concurrent observation, and interview, on 1/3/2024, at 12:15 p.m., at the HHA address on record, 8949 Reseda Blvd., suite 206 Northridge CA 91324, the office suite 206 was observed there was a different agency (medical transportation agency) occupied the office Suite 206. During an interview with the office personnel at suite 206, stated he did not know the previous agency that occupied suite 206. The office personnel stated their agency just rented out the room (suite 206) because it was not occupied for the past six months. During an observation of suite 206 on 1/3/2024, at 12:15 p.m., there were posters observed on the wall that belong to the home health agency. The office personnel removed the posters from the wall and gave them to the survey team. The office personnel provided an old patient admissions folder (found on the desk) that indicated the name of the previous home health agency. During an interview with the building manager on 1/3/2024, at 12:30 p.m., stated the former tenant (previous HHA) left (unidentified date and time) and gave the contact number of the former tenant. During a telephone interview on 1/3/2024, at 12:30 p.m., with the former tenant (previous HHA) Owner, the Owner stated she owned the HHA and moved to a different address and had been operating in a different location at 700 N. Central Ave., Ste. 500 Glendale CA. During an onsite visit conducted at 700 N. Central Ave., Suite 500, Glendale CA on 1/3/2024, at 1:15 p.m., and concurrent observation of Suite 500, there was a brown sign in book at the front desk. During a concurrent interview and record review, on 1/3/2024, at 1:15 p.m., with the Director of Nursing Designee (DOND), and the Accountant (ACCT), the HHA’s brown sign in book was reviewed. The DOND and the ACCT they both stated that under the column "Company," indicated the initials were "ERG," (HHA 2) DOND and Acct stated, they did not have knowledge of the book because they were new at the HHA. During an interview on 1/3/2024, at 1:15 p.m., with the Office Manager (OM), DOND, ACCT, and an office personnel (OP), the OM stated that it was his first day to work and the agency just recently moved to the location. OM stated that the agency did not have any patients but could provide any documents to the Department. When asked if he could print out the HHA’s latest discharge list from the electronic medical record, the OM stated he had no access to HHA’s electronic system. When asked who the current owner of the agency was, OM stated the owner was unavailable and was on vacation. OM did not provide the Owner's name and information. During a joint interview on 1/3/2024, at 1:30 p.m., with the DOND and the ACCT, the ACCT stated she started a week from 1/3/2024. The DOND stated it was her first day to work and had not completed the hiring process yet. DOND stated she had not signed an application form and only brought copies of her license verification and driver's license. On concurrent interview with the ACCT and DOND, both stated they were hired by another person (would not provide information) and had not met the Owner of the HHA. On 1/3/2024, at 1:30 p.m., a request was made to provide copies of their state license, lease agreement and accrediting organization letter and application for the change in ownership and change in location. The agency did not provide written evidence for their application for the change in ownership, change in location application and discharge list. During a review of the Department's HHA application record and interview with the Owner on 1/3/2024, at 2:39 p.m., the Owner stated she was the Administrator (ADM) and Director of Patient Care Services (DPCS). The Owner stated the HHA was supposed to be managed by a different management team (would not provide information of the different management team). The Owner/ADM/DPCS, stated that the HHA had no licensed staff because the HHA did not have patient. On 1/4/2024, at 11 a.m., the HHA suite 500 office door was closed and locked. Attempted to call the contact number posted on the door and left message. On 1/4/2024, at 1 p.m., called the DOND and asked why the HHA office was closed and locked, the DOND stated she worked as a per diem and would not go to the office daily. DOND stated she would come to the office but did not come. On 1/4/2024, at 3:26 p.m., during a telephone interview with the Owner/ADM/DPCS, stated the HHA was sold on 9/9/2023 to three different partners and were supposed to file an application for change of ownership. A review of the lease agreement dated 9/20/2023 indicated that the tenant was the name of the HHA, electronically signed by the Chief Executive Officer (CEO) representing the HHA as the tenant. The lease agreement documents did not indicate the name of the Owner. A review of the agency's information on record from the department indicated that there was no record of the agency's change in ownership and change in location application.

Responsible for the management of the HHA CFR(s): 484.100(a)(3) The name and business address of the corporation, association, or other company that is responsible for the management of the HHA, and the names and addresses of the chief executive officer and the chairperson of the board of directors of that corporation, association, or other company responsible for the management of the HHA. This ELEMENT is not met as evidenced by: Based on observation, interview, and record review the home health agency (HHA) failed to provide information regarding the HHA's current location/address, staff, and management team responsible for managing the day-to-day operation to the California Department of Public Health. This deficient practice had the potential for lack of care and services provided to any patient(s) admitted to HHA and misinformation to the public and the community. Findings: On 1/4/2024, at 11 a.m., arrived at the agency's new address and observed the HHA’s door was closed and locked, and no one answered the door. Called the number posted on the HHA door and it led to the agency's answering service. The answering service took the number of the survey team and would call back when they reached a HHA staff. No call back received. During a telephone interview on 1/4/2024, at 1 p.m., with the Director of Nursing Designee (DOND), the DOND, stated she was currently employed with the HHA. When asked why their office was locked and closed, the DOND stated she did not know why the agency was closed because she worked part time at the HHA. When asked if she could go to the agency, the DOND stated she would call the survey team in ten minutes and would find out why the agency was locked and closed, because she did not have the keys to the office. On 1/4/2024, at 2 p.m., there was no HHA staff came and no DOND. There was no call back from the DOND. During an interview on 1/4/2024, at 3:04 p.m., with the Owner/Director of Patient Care Services (DPCS)/Administrator (ADM) of the HHA, the Owner/DPCS/ADM stated she could only send text messages because she was still on vacation. Owner/DPCS/ADM stated the agency was sold to three people on 9/9/2023 and was supposed to file the change in ownership (CHOW) and change in location (CHOL) to the Department. The Owner/DPCS/ADM stated the keys to the office was provided to the new owner. The Owner stated she did not know why the agency was closed and locked and the new owner was not responding to her calls, messages and emails. Owner/DPCS/ADM stated she gave the access to the agency's electronic medical records to the new owner of the HHA. The Owner/DPCS/ADM could not provide information of the status of the day-to-day operation of the HHA, current patient census, and the day operation of the HHA.