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-20240404121611 .

LPA Quiroz was greeted by Caregiver 1 (CG1) and met with Caregiver 2 (CG2) and discussed purpose of today's visit. LPA Quiroz attempted to call Administrator (AD) Kevin Dinh multiple times with no response or call back. Caregivers in care indicated "There's a person in charge when Kevin is away on vacations her name is Janice. LPA Quiroz called and spoke to AD Janice Jabonero who indicated "I didn't know he was on vacations. He asked me in February to cover during his absence but didn't tell me the dates. " (SEE LIC 809-D)

On or about 2:35pm while conducting tour and interviewing Resident 3, LPA Quiroz observed centrally stored medication and vitamins stored on shelves in staff bedroom with door unlocked readily available for residents in care.

On or about 2:53am while conducting inspection tour of living room and kitchen area, LPA Quiroz observed loose screen door in living room area, as evidenced by Caregiver 2 requiring to pull it out from frame and reinstalling it back in order to open screen door per Resident 1's request. On or about 2:40pm, while inspecting garage area, LPA Quiroz observed staff pulling on garage door stating "It's hard to open and close, we had to use both of our hands to open and close but now we just use one but pull hard." (SEE LIC 809-D)

During today's inspection visit, while conducting tour of the facility and conducting interviews for complaint control #22-AS-20240404121611, the following deficiencies were observed and are being cited via this case management deficiency.

87405 (a)- Administrator - Qualifications and Duties

The facility is being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted with Caregivers on site, and a copy of this report, 809-D Page, Appeal Rights and LIC 811 were provided at exit.