Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan initiated a case management visit to issue deficiencies observed during a complaint investigation #28-AS-20230512120959. LPA met with Staff, Elvira Cortez, and explained the purpose.

During the tour on 5/16/23, LPA observed strawberry yogurt bars in a tray uncovered and a gallon of juice without the top left inside the refrigerator, located in the second building dining room. In addition, the signal system in the residents' rooms are not operable. Staff stated a new signal system was purchased and is waiting on installation. LPA observed the shipment of the signal system was dated 1/20/23 and the box of call systems are left in the owner's office. Staff stated that they are consistently conducting round checks every 2 hours and residents are given a bell to signal staff in the meantime.

The deficiencies are issued on the LIC809D form. A civil penalty for a repeated violation is also issued. The report along with appeal rights were given to staff Cortez.