Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara conducted a Case Management - Deficiencies visit to the above facility. LPA met with administrator Marilou Mendoza and explained the reason for this visit.

During today's visit, 5/15/2024, LPA requested medication records for resident 1 (R1) who no longer resides at the facility. R1 moved out on 8/4/2023. Assistant Administrator Gigi Sumulong located R1's records but there were no medication records. These records must be maintained at the facility a minimum of one year.

LPA requested personnel records for two former employees, staff 1 (S1) and staff 2 (S2), who were reportedly terminated in 2023. The Assistant Administrator attempted to locate the personnel records for these two employees. She looked through records in storage but could not locate them. These records must be maintained at the facility for a minimum of three years following termination of employment.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited

Exit interview conducted. A copy of this report and appeal rights were provided to the Administrator.