Facility Evaluation Report

At approximately 9:45 AM, Licensing Program Analyst (LPA) Julie Florio arrived at facility unannounced to conduct a Case Management Legal/Non-Compliance visit and was greeted by staff. Norbert Sacro, Licensee was contacted via telephone and arrived at approximately 11:30 AM. The facility was placed on a non-compliance plan for the following reasons:

Failure to seek timely medical care for a resident's worsening wound; and

Failure to ensure resident received ongoing medical care for a worsening wound, resulting in resident's hospitalization.

LPA toured the facility to ensure residents were safe, secure and that their medical needs are being met.

During inspection, LPA observed Staff 1 (S1) assisting in the facility. During a previous visit, LPA observed the same individual present in the facility who stated they were visiting. Upon record review during today's inspection, it was revealed that S1 is cleared and associated to facility and is currently scheduled to complete their health screening, TB test, and first and CPR training in order to bring the facility into compliance with regulations. S1 has not yet completed the required initial 40 hours of training within the required time-frame per regulation, ( see LIC809D ). LPA also discussed the medication administration training requirements with Licensee and S1. Both conveyed understanding and agreed that S1 would complete all of the required medication administration training prior to S1 administering any medications to residents in care.

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, and/or a repeat citation within a 12 month time period, may result in a civil penalty assessment.

Exit interview conducted with Licensee whose signature on form confirms receipt. Appeal rights provided.