Facility Evaluation Report

Licensing Program Analysts (LPA)s Mary Flores and Daniel Konishi conducted an unannounced annual visit at the facility to conclude annual visit started on 5/9/24. LPAs met with Annabelle Argenal and explained the reason for the visit.

During this visit LPAs concluded the following CARE inspection tool domains:

Infection Control, Operational Requirements, Staffing, Personnel Records/Staff Training, Disaster Preparedness, Residents with Special Health Needs.

LPAs reviewed the following during today's visit.

Eight (8) staff files. Training was reviewed and staff #3 - #8 do have a total of 20 hours which include hours on hospice, postural support, restricted health conditions, and dementia care. Except for staff #6.

Infection Control plan last updated on 5/1/24.

Emergency Disaster plan last updated on 6/2/23.

A copy of Liability Insurance was provided during the visit of 5/9/24.

Hospice plans and files were reviewed during the visit of 5/9/24.

Last Fire Drill was conducted on 3/26/24.

Administrator certificate was observed for Annabelle Argenal # 6034626740 exp. date: 4/21/25.

Interviews with 4 staff and 4 residents were conducted.

Deficiencies were noted during this visit per Title 22 Regulations. Technical Violations were noted.

Exit interview was conducted with Annabelle Argenal and a copy of this report was provided.