Facility Evaluation Report

On 1/28/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility for an unannounced case management visit. LPA met by receptionist. Administrator was contacted but unavailable. LPA was given permission to meet with Director of Nursing (DON), Sam Parvinder. LPA was COVID pre-screened at entry. LPA completed a Health and Safety check on residents in care. Residents observed in hallway and in rooms at time of visit.

Upon arrival to facility LPA observed front entrance door to be locked. During previous visit on 12/16/2022. The following issues were observed: The front entrance door was locked not allowing residents, visitors and staff to come in and out freely. The janitor closet was unlocked with chemicals accessible to residents in care. These pose a potential personal rights, health and/or safety rights risk to residents in care.

Deficiencies cited per Title 22 on 809D. Exit interview completed with DON, Sam Parvinder. A copy of this report and appeal rights given.