Facility Evaluation Report

On 9/20/2023, LPM & LPA conducted an unannounced Case Management – Annual Continuation Visit to the above-named facility and met with administrator Orlando Magat. LPM & LPA explained the purpose of the visit and were accompanied by administrator, inside and outside the facility during this inspection.

During todays visit, LPM & LPA observed that medications were safe, locked and inaccessible. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. Documents are posted as mandated. Last Disaster drill was conducted on 09/05/2023. Five (5) staff records were reviewed, 5 out of 5 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. Five (5) client records were reviewed and, 5 out of 5 client records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans. LPM & LPA reviewed P&I money, 5 out of 5 residents P&I were intact and were not commingled with facility funds or petty cash.

Deficiencies are being cited based on LPA observation, interviews conducted and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. A violation regarding Physical Plant that was cited within the last 12 months warrants civil penalty assessment for a repeat violation.

An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report , civil penalty assessment and appeal rights were discussed and left with administrator Orlando Magat.