Facility Evaluation Report
On 8/22/2023 at 12:10pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Wang Ding, Administrator.
While LPA L. Hall was conducting a complaint investigation (15-AS-20230818114650) on 8/22/2023. During record review LPA observed both residents files and S2 file was incomplete.
The following deficiencies were also observed:
At 10:25am, LPA observed the medicine closet was unlocked and contained medication.
At 11:30am, LPA observed both client files were incomplete.
At 12:00pm, LPA observed S2 file was incomplete.
At 12:05pm, LPA observed bedroom in garage.
At 12:20pm, LPA observed during record review and interview that S1 did not submit death or incident report for residents.
The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.
Exit interview conducted. A copy of the LIC421FC, this report and appeal rights provided
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction