Facility Evaluation Report
On 11/12/2024 at 9:35am, Licensing Program Analyst (LPA) Zina Brown and Licensing Program Manager (LPM) Janae Hammond conducted an unannounced case management deficiencies.
During the complaint investigation, LPA observed residents and staff records are incomplete, Staff #3 is not associated to the facility and Resident #2 - Resident #5 have bed rails but there are no physician orders on file. The facility staff are using gait belts for residents #1- resident #5 there are no physicians order.
Civil penalties assessed and the decencies cited under California Code of Regulation Title 22, Division 6, Chapter 8 are being cited on the LIC 809-D.
Exit interview conducted with Alvin Banzuela, Administrator and a copy of this report was provided with appeal rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction