Facility Evaluation Report

This unannounced Plan of Corrections inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of verifying correction of deficiencies issued during the post licensing inspection conducted on 12/13/22. LPA met with Administrator (AD) Lupe Harvey and discussed the purpose of the inspection.

Type B Violation cited under Health and Safety Code section 1569.625(b)(2) pertaining to staff training has been CLEARED. The plan of correction stated that “Licensee stated they will document training for all staff, provide any missing training, and provide proof to LPA by POC due date.” LPA had provided an extension of the due date to 01/14/23. On 01/12/23, LPA received via email documentation of training for 12 staff.

Type B Violation cited under Title 22 Regulation 87506(b)(15) pertaining to resident files has been CLEARED. The plan of corrections stated that “Licensee stated they will gather all appraisals, conduct additional appraisals as necessary, and provide proof to LPA by POC due date.” LPA had provided an extension of the due date to 01/14/23. On 01/12/23, LPA received via email documentation of recent appraisals for 16 residents.

An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.