Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conduted an unannounced plan of correction visit (POC) at the facility regarding deficiencies noted on 11/30/23 during an annual visit. LPA met with Larry Ho and explained the reason for the visit.

On 11/30/23 LPA Flores conducted an annual visit and noted the following deficiencies:

Type A - Section 87309(a): LPA observed bug killer spray and laundry detergent accessible to the residents. On 2/8/24 LPA observed cleaning supplies, chemicals, were under locked. Deficiency cleared as of 2/8/24.

Type A - Section 87309(b): LPA observed staff's medication was observed on top of kitchen's dining table, an apothecary accessible to the residents. On 2/8/24 LPA Flores observed medication locked on medication cabinet. Deficiency cleared as of 2/8/24.

Type B - HSC 1569.695(c): During the visit no record of emergency drills conducted was provided. On 12/7/23 Administrator provided emergency drill on December 6,2023. Deficiency cleared as of 12/7/23.

Type B - HSC 1569.695(d) : Emergency Disaster plan has not been updated to the most current or does not meet the most current version of Emergency Disaster plan version (12/21). On 12/7/23 Administrator submitted a copy of Emergency Disaster plan. Deficiency cleared as of 12/7/23.

Type B - HSC 1569.695(f)(1): Facility does not have an evacuation chair by the stairwell. On 2/8/24 LPA Flores observed emergency evacuation chair on top of the stairs. Deficiency cleared as of 2/8/24.

Exit interview was conducted with Larry Ho and a copy of this report was provided.