Facility Evaluation Report

On 3/19/2025 at 12:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a POC (proof of correction) inspection. LPA met with caregiver, Wilson Censon and informed him the reason for the visit.

The following deficiencies were cleared by visit :

- 87303(e)(2) ; L PA measured hot water temperature at 117.2 degrees F in the hallway bathroom.

- 87309(a); LPA observed cleaning supplies and lighters were locked

Facility still has the following deficiencies that were not cleared and were issued on 3/13/2025 from California Code of Regulations, Title 22 :

- 87465(h)(2); LPA observed unlocked medications in the refrigerator. Staff went out to obtain a lockbox for the medications. Staff locked up the medications in the refrigerator during POC visit. Deficiency cleared today.

- 87355(e)(2); LPA observed S4 was present at the facility and was not fingerprint cleared in the Guardian system. S4's determination status indicated as "not yet requested" as of 3/15/2024.

Civil penalties of $500 is assessed for the period of 3/15/2025 to 3/19/2025 for failure to correct for each deficiencies 87465(h)(2) and 87355(e)(2). Total civil penalties in the amount of $1000 is being assessed today. Facility is subject to ongoing civil penalties until deficiencies are corrected.

Exit interview conducted. A copy of this report, civil penalties, appeal rights, and POC letter provided.