Facility Evaluation Report

On 3/2/2023 at 10:30 a.m., Licensing Program Analyst (LPA) Melissa Ruiz along with Regional Manager (RM) Angela Kendrick and Licensing Program Manager (LPM) Nichelle Gillyard arrived at the facility to conduct an unannounced case management visit. The purpose of this visit was to follow up on observations previously reported during various licensing inspections dating from July – September 2022. Upon arrival, the team was greeted by a staff member (S1) and was allowed entrance to the facility. S1 was not wearing a surgical mask and was prompted by the LPM to wear a mask. LPA attempted to contact the licensee Felix Campos various times, and the licensee informed LPA Ruiz that he was at a medical appointment and would attempt to arrive later.

At 10:40 a.m. the team conducted a physical plant tour, and interviewed the one client in care. The following was observed:

The common areas, kitchen, bathrooms, and bedrooms were dirty with visible dirt build up and trash. The walls and ceilings were in poor repair with holes. These observations were an immediate health and safety concern. At approximately 11:00 a.m., the team toured the outside of the facility and observed old furniture, and various items laying around such as wood, metal, and clothes.

At 11:10 a.m., the team conducted record review and for three clients and one staff (S1). The staff records for S1 did not have a LIC308 on file, no medication training, general training, or record of a TB test. Three of the six client records did not have updated physician reports, medication records and the records reviewed have information for a different facility that the Licensee is or has been associated with. The team observed one client (C1) to be on an oxygen tank, however no signage was observed. Deficiencies issued per CA Code of Regulations, Title 22. See LIC9099D. Report signed and delivered. Appeal rights issued.