Facility Evaluation Report

Licensing Program Analyst (LPA) Salia Walker arrived at the facility unannounced to conduct a required Annual visit. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Staff upon arrival, and explained the reason for the visit.

At 9:25 a.m., the LPA conducted a record review that confirmed Staff #1 (S1) is not associated to the facility. Staff #2 (S2) confirmed that S1 has been working at the facility for two (2) days without association to the facility. The LPA advised S2 that all staff are to obtain a California clearance or a criminal record exemption as required by the Department prior to working at a licensed facility. On 7/29/2021, the Department issued a citation and assessed civil penalties under section 87355(e)(1) for staff non-association. Therefore, the facility is being issued a repeat violation, and civil penalties are being assessed for S1 not having a criminal record clearance prior to working at the facility. S2 acknowledged and stated they will be covering for the rest of the day, until another staff that is associated is able to relieve.

The LPA toured the physical plant areas inside and outside, with S2 at 9:32 a.m., to ensure there are no health and safety hazards.

BEDROOMS: The LPA observed the resident bedrooms which were furnished with clean linens, appropriate furnishings, and sufficient lighting. At 9:27 a.m., the LPA observed two (2) boxes of cigarettes in room #2. Staff immediately stored the cigarettes in a secured closet. On 7/30/2021, the Department issued a citation for section 87705(f)(2). Therefore, civil penalties are being assessed today for a repeat violation, as the licensee failed to ensure the cigarettes were stored inaccessible to residents with dementia.