Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh arrived unannounced at 9:28AM to conduct an Annual Continuation visit. The LPA met with the Executive Director (ED) Dion Gallarza and explained the reason for the visit. Entrance interview conducted.

At 9:31AM, the LPA and ED conducted a brief health and safety tour of the physical plants areas, and no immediate concerns were observed.

RECORDS: Resident records were reviewed at 9:57AM. LPA Huynh reviewed ten (10) files for, but not limited to: admissions agreements, medical assessment, appraisals, and consent forms. Resident records reviewed were in order at this time. The LPA reviewed eleven (11) personnel records for, but not limited to: job application, health assessments, TB results, criminal record statements and clearances, first aid/CPR certification, and appropriate trainings. Staff files reviewed were in compliance with regulation at this time. Three (3) staff did not have a certified first aid/CPR training on file, however, received Relias online module trainings and certified staff are on the premises at all times. The LPA advised the ED to ensure direct care staff receive first aid/CPR certification.