Facility Evaluation Report

Licensing Program Analysts (LPAs) Alberto Lopez and Sakinah Madyun made a subsequent visit. The reason for the subsequent visit is to change the deficiency Type from A to B for the citation issued on 2/25/25 for Section 87309(A). LPAs met with Arienne Ghammangne Director of Health Services and discussed purpose of visit.

According to Section 87309(a), items that could pose a danger to residents are to be kept in a locked storage and not left unattended if outside the locked storage. The three pairs of scissors in question were behind an unlocked door, yet it could not be established based on the preponderance of the evidence that these items were left unattended as required. In consideration of these facts, the citation appears to be a potential risk to residents and not an immediate risk.

On 02/25/2025 conducted a subsequent visit to investigate two complaints. LPAs arrived unannounced and met with Arienne Ghammangne Director of Health Services and Rochelle Carpio Administrator arrived a short time later and assisted with the visit. The purpose of the visit was explained.

During a tour of facility at 9:50am with Arienne Ghammangne, Director of Health Services, LPAs observed the wellness room door unlocked on the second floor across from the elevator and dining area. Inside the room were three (3) pairs of sharp scissors in the unlocked room which are accessible to 32 residents in dementia care facility. This poses an immediate risk to the health, safety, or personal rights of the persons in care.

Deficiency cited on 809D, exit interviewed conducted with Arienne Ghammangne Director of Health Services and copy of report and appeal rights provided.