Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi conducted a Case Management - other visit. LPA met with individual/staff and explained the reason for the visit. LPA contacted Administrator Lala Soghomonyan who stated they will be at the facility for the visit.

At approximately 09:35 a.m., LPA conducted physical plant, interviewed staff, residents and reviewed and obtained copies of pertinent facility documents relevant to the visit.

At approx 10:00 a.m. LPA spoke with a home health nurse conducting a visit with Resident #1 (R1). Home health nurse stated they had difficulty getting hold of staff to enter the facility. Interview with R1 confirmed the phone rang multiple times this morning, but staff was busy providing assistance to another resident.

LPA interview with four (4) residents in care revealed they were satisfied with the service and food at this time. LPA observed a sufficient supply of perishable and non-perishable food properly stored during today's visit. At approx 11:47 a.m. LPA observed Administrator bring in extra groceries and specific items requested by residents. Administrator also arrived with a reliever staff who was fully cleared and associated to the facility.

LPA's review of California Department of Social Services criminal clearance record database revealed that staff #1 (S1) is not fingerprint cleared to work. Interviews and records review confirmed that S1 started working at this facility today.

Following deficiencies were cited from the Title 22 California Code of Regulations on 809-D. Civil penalty issued today in the amount of $1,100 for staff not finger print cleared and a repeat violation. Failure to correct the deficiencies may result in additional civil penalties.

Exit interview conducted, appeal rights discussed and a copy of report provided.