Facility Evaluation Report
On 10/09/24, at 9:00am Licensing Program Analyst (LPAs) Gina Saucedo, Angelica Segovia and Licensing Program Manager (LPM) Troy Agard conducted an unannounced visit to this facility for deficiencies.
During the Physical Tour and Records Review, LPA's and LPM observed:
A health screening was missing for one (1) of the staff currently working/associated with the above facility.
A Physician's Report was missing not showing the tuberculosis screening for one (1) of the residents.
The Facility was in disrepair missing ceiling panels in the kitchen, the fireplace covering has to be attached a broken sliding door in one (1) of the resident's room is broken and a broken door leading to the entrance/exit of the facility has to be repaired.
A staff that does not have the proper documentation/association to work at the above facility.
Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D.
Exit interview conducted, appeal rights and copy of report signed and delivered to the Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction