Facility Evaluation Report

This Case Management visit is conducted in conjunction with complaint investigation visit conducted today. (Complaint 31-AS-20240605130632) . The purpose of this Case Management visit is to address the deficiencies that were observed during the complaint investigation not related to the complaint. LPA greeted by the staff #1 (S1 ) who identified himself as a caregiver for the facility. LPA explained the reason for the visit and requested the caregiver to inform the Administrator about Licensing Visit. S1 provided their names and LPA Dela Cerra noted that S1 did not have a criminal record clearance and association to the facility.

In addition, upon further review of recent licensing reports, LPA noted that during Case management visit conducted by the Department on 05/21/2024, the facility was cited for allowing a same individual, S1 to work in the facility without criminal record clearance and association.

In addition, while reviewing residents’ records, LPA observed that the records were not complete and/or current.

As per history of facility licensing reports, the Administrator of record is never present at the facility and Licensing representatives were greeted either by the designee or by the caregivers.

LPA De La Cerra contacted the Administrator over the phone and informed that at the time of this visit the facility will be cited for the following Title 22 Deficiencies. During the investigation and record review, LPA observed the following: