Facility Evaluation Report

Licensing Program Analyst (LPA) Jey Cardenas conducted a case management visit to the above facility; during an initial 10 day complaint investigation visit made (control number 11-AS-20220727130322 ) LPA observed deficiencies not-related to the complaint investigation. The following was discussed with facility representative: Reporting Requirements , and Building and Grounds.

On todays visit LPA conducted a covid-19 risk assessment, LPA was notified that facility has two active covid-19 cases. Per LPA review on FAS, facility has not reported the current covid cases (two/ staff) to community care licensing. LPA spoke with Administrator, Flores who confirmed that the current cases have not been reported and he was unaware that this was a requirement.

During tour of the facility, LPA observed room#5 to be full of clutter, items such as tin cans and junk is were spread out through the floor, stacked up, bed is not leveled; bedroom is not safe and sanitary.

Per California Code of Regulations, Title 22 the following deficiencies were observed and cited: (Refer to LIC 809-D)

Exit interview conducted, appeal rights issued, and a copy of the report was provided.