Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Uena conducted an unannounced Case Management-Deficiencies inspection visit at the facility today due to deficiencies observed during the investigation of complaint control #29-AS 20230505112637.

At 1:30 p.m., LPA Urena interviewed the Administrator and requested the personnel file for S2. The administrator stated that S2 was not background cleared, nor associated to the facility. The administrator stated that they had hired S2 approximately around 5/1/2022, to assist residents with showers. S2 was last present at the facility the morning of 5/9/2023 to provide a letter to administrator of actions taken while providing services to residents.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D):

Exit interview conducted, today's reports and appeal rights were reviewed and issued.