Facility Evaluation Report

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility to conduct a complaint investigation. LPA met with caregiver Lino Caramat due to the Administrator being away from the facility. At approximately 8:40AM, LPA observed two residents and one staff in the main living room with jackets and sweaters on, and one resident was observed to have a dripping nose. LPA measured the ambient temperature in the facility and found it was 67 degrees. At approximately 8:45AM, LPA reviewed resident records. LPA observed there was no evidence of a medical evaluation, no Pre-Admission appraisal and no care plan in the file. LPA observed the file contained a letter sent to the responsible party on 09/15/2024, stating R1 needed a higher level of care. A similar letter was also in the file dated 09/26/2024. The letter dated 09/26/2024 appears to be a formal 60 day eviction notice. Neither of these documents were sent to Community Care Licensing at the time.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Lino Caramat and Appeal rights were given.