Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted a Case Management Deficiencies visit due to observation made while investigating complaint control # 28-AS-20230503164443 visit. The purpose of the visit was explained to Administrator Linda Fan.

During tour of facility LPA observed the following deficiencies:

· 2 bottles of prescription for R1 and R2 were observed on water dispenser machine in dining room area. This area was accessible to 35 out of 35 residents in care.

· Water temperature in 1 st floor bathroom#1 was measured at 96.4 degrees F, which does not meet Title 22 regulations.

· Water temperature in 1 st floor bathroom#2 was measured at 98.6 degrees F, which does not meet Title 22 regulations.

· 1 st floor storage 3 was observed to accessible and contained various tools, half bag of construction material, can of paint, oxygen tank and other potentially dangerous tools.

· LPA observed several “Blood Glucose Testing and Insulin Injection Records” and “Incontinence Logs” taped outside several residents’ doors.

Deficiencies are being cited. See LIC 809-D.

Exit interview was held and a copy of this report, 809-D and appeals rights was provided via email due to printer problems.