Facility Evaluation Report

This unannounced site visit was made by Licensing Program Analyst, Kathrina Chin for the purpose of a case management visit- deficiencies. LPA met with Leoncio Canlas, Administrator, Cora Canlas, caregiver, Winnie Greco, caregiver, and Adam Greco, caregiver.

While investigating complaint control number 22-AS-20211203092746, LPA observed that the facility had an insufficient food supplies. There were no fresh fruits and vegetables to meet the three( 3) day supply requirement. There were also no juices at the facility. Also, the facility staff is not following the posted menu. The menu stated for breakfast today consists of eggs and hash browns and juice and milk. There was no ham, bacon or juice in their food supply in order to follow the menu. The staff served one egg and one hash browns for breakfast for the residents today. One resident refused the presented food and was given noodles for breakfast. The facility does not have an insufficient perishable food supplies to meet the 3 day requirement.

Also, a representative from an outside agency observed the door to be locked with a bungee cord on June 15, 2021. Staff admitted that the bungee cord was used in order to keep resident 1(R1) from eloping from the facility. It took four (4) minutes for the staff to open the front door in order for the visitor to gain entry to the facility. There is an auditory alarm at the entrance door.

The following deficiencies are cited today as per Title 22, Division 6 of the California Code of Regulations:

An exit interview was conducted, appeal rights explained and a copy of this report was given to Leoncio Canlas, Administrator.