Facility Evaluation Report

On 9/14/2022 Licensing Program Analysts (LPAs) Leslie Ibo and Liridon Fici conducted unannounced case management visit while conducting a complaint investigation. LPAs was greeted by care staff (S3) and explained the purpose of the visit. LPAs called Administrator (ADM) Raj and explained the purpose of the visit. At 12:33 PM, ADM arrived at the facility and met with LPAs. LPA’s toured the facility inside and outside.

· At 10:51AM LPA observed unlocked chemicals at the laundry room that are accessible to residents in care.

· During the course of complaint interview, LPAs found out that Administrator (ADM) did not report incident that happened at the facility

Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties.

Deficiencies and plan and proof of corrections were discussed with Rajwant Panasar.