Facility Evaluation Report

On 09/10/2024 Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management - Deficiency. LPA met with Executive Director (ED), Joseph Villanueva, and explained the purpose of the visit.

LPAs L. Alexander and G. Luk conducted an Annual Inspection on 08/07/2024 and cited for CCR 87707(c)(5) and HSC 1569.625(b)(2). The Plan of Correction (POC) original due date was 08/30/2024. The POCs that were reviewed were incomplete. LPA L. Alexander emailed ED on 09/09/2024 to confirm status that the POCs submitted were complete. The POCs included copies of resident's medical assessments and staff annual training. ED stated that resident's responsible party will submit medical assessment. ED stated that the staff training needed to be uploaded in their system by Human Resources Team and downloading for the staff to complete for 2024. ED stated that they will have the staff complete all RCFE required training by the end of the year. Meanwhile, ED requested if they could have more time for staff to complete the required training. LPA L. Alexander recited the uncleared deficiencies and scheduled a new POC due date.

Facility has the following deficiencies that was not cleared :

The following 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 the deficiencies may result in civil penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.