Facility Evaluation Report

On 06/17/2025 at 3:30 PM Licensing Program Analysts (LPAs) L. Alexander and D. Doidge arrived unannounced to conduct a Case Management inspection as part of monitoring plan from Non-Compliance Conference (NCC) held on March 26, 2025. LPAs met with Licensee/Administrator, Victoria Puruganan, and explained the purpose of the visit.

LPAs received and reviewed updated medical assessments for 5 (five) residents (R). During the review, LPAs observed R1 tested positive with Tuberculosis, and is currently taking a course of antibiotics for 4 months. Licensee did not have confirmation from R1's primary care physician if they were contagious or not. LPAs observed that R2's physician's report indicated that they can not administer their own insulin nor check their own blood glucose. LPAs observed that R4 had a recent Emergency Room visit of 06/07/2025 in which the After Visit Summary indicated that R4 was seen for a fall. During interview with S1, S1 stated that R4 had eloped and that the hospital called. S1 stated that they had notified CCLD but they did not have a copy of the Incident Report (LIC624). LPAs observed that R5 is diabetic on insulin and also has a ostomy bag. S1 stated that there is a nurse from Kaiser that comes to monitor R5 for the osotmy bag but S1 did not have care plan to address R5's insulin use for diabetes and ostomy.