Facility Evaluation Report

On 04/10/2024 Licensing Program Analysts (LPA) J. Clancy-Czuleger and A. Gharachorloo arrived unannounced to conduct a Case Management. LPA met with Telesha Clarke, House Manager.

While LPA J. Clancy-Czuleger conducted a complaint investigation (15-AS-20240409090155) on 04/10/2024, LPA observed that there were two staff members listed on the LIC 500 that are not associated to the facility.. LPAs verified that S1 and S2 are fingerprint cleared but not associated. During the investigation LPAs observed S3 enter the house, S4 stated that they were a new hire and were doing on boarding. LPAs interviewed staff and residents and found that S3 has been at the facility working before today.

During the investigation LPAs asked for the medication logs of each dosage given to the residents. S4 stated that they were behind on those logs as they were doing it electronically and the system crashed and she was having to print them out and do it by hand.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiency by POC date may result in additional Civil Penalties.

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