Facility Evaluation Report

On 7/31/2024 at 10:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Interim Administrator, Adrian Yanga and explained the purpose of the visit. The facility’s fire clearance was approved for 5 bedridden clients.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Smoke detectors are interconnected with sprinklers system. Fire extinguishers were observed to be full and last serviced on 4/10/2024. One week of non-perishable and 2-day perishable food supplies were sufficient. Hot water temperature was measured at 105 degrees F in the hallway bathroom sink. All client bedrooms have automatic hoyer lifts and bathroom have hoyer lift installed. Medications were in a locked in kitchen cabinets. Cleaning supplies and toxins were locked and stored appropriately and inaccessible to clients. First Aid kit is complete. Last disaster drill was conducted on 7/9/2024.

LPA reviewed 4 clients and 3 staff files starting at 11:30AM. LPA reviewed client's P & I money with logs. LPA interviewed 2 staff and attempted interviews with 2 clients starting at 1:00PM. LPA reviewed a sample of client's medications during inspection.

At 12:00PM, LPA reviewed client's P & I money with logs and observed two out of four clients had P & I money deducted for items that was not for the clients. LPA observed C1 and C3 was charged for food items and/or parking fees. Both clients have G-tube feeding and did not consume the food items that was purchased.

The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights provided.