Facility Evaluation Report, 04/04/2023 — Walnut Creek Care Home, Walnut Creek CA

Facility Evaluation Report

Walnut Creek Care Home, Walnut Creek04/04/2023Licence 079201161

Capacity6

Census4

Date signed04/04/2023 05:05:23 PM

The inspector’s account

During the unannounced complaint inspection at the facility on 04/04/2023, Licensing Program Analyst (LPA) J. Sampair conducted a complaint visit after observing additional deficiencies. LPA discussed these deficiencies with Caregiver Nestor Avecilla during the complaint investigation.

Civil penalty issued because of a staff person working who was not associated with facility.

Full rails on R1's bed without a physician's order.

Facility cited for those deficiencies as per Title 22 of the California Code of Regulations listed on the LIC809-D.

Failure to submit proof of correction (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. Appeal Rights and a copy of this report provided via email.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction