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F0851
E

Failure to Submit Required PBJ Staffing Data

Covina, California Survey Completed on 08-06-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to submit the required direct care staffing information for one of two quarters (Quarter 2) through the Payroll-Based Journal (PBJ) system, as mandated by CMS. This deficiency was identified during a review of the PBJ Staffing Data Report, which showed that no data was submitted for the specified quarter. The facility's policy and procedure required quarterly submission of PBJ data within the specified timeframe, but this was not followed for the quarter in question. During an interview, the Administrator explained that the corporate controller office was responsible for submitting the PBJ data. The previous controller resigned in March, and the new controller had not yet received the submitter ID from the State, resulting in the failure to submit the required data. The Administrator acknowledged the importance of submitting PBJ data for accurate staffing and compliance with regulations.

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