Facility Evaluation Report

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted a subsequent unannounced visit after delivering findings for complaint control # 22-AS-20240408103754 .

LPA Quiroz was greeted by Caregiver 1 (CG1) and discussed purpose of today's visit. Licensee/Administrator (L/AD) Uldarico Almiranez arrived during today's visit.

On or about 10:21am while conducting interviews with Resident 1, LPA Quiroz observed trash and food crumbs underneath and on recliner couches in living room area, this was verified with CG1 and L/AD Almiranez. CG1 indicated "We'll take note of that and be careful with making sure to clean well." On or about 11:30am while LPA Quiroz reviewed resident files in dining-room area, LPA Quiroz observed broken case on lower part of dishwasher and tape on top of dishwasher; this was verified with CG1 and L/AD Almiranez who indicated being aware of case being loose and will have it repaired.

During today's inspection visit, while conducting tour of the facility and conducting interviews for complaint control #22-AS-20240408103754, the following deficiency was observed and is being cited via this case management deficiency.

The facility is being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted with CG1, and a copy of this report, 809-D Page, Appeal Rights was provided at exit.