Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho made a subsequent visit for the purpose to issue a citation after observing a deficiency while conducting a 10-day visit on May 30, 2023 in connection to 22-AS-20230524163541. LPA met with Administrator Jon Castro and explained the purpose of the case-management visit. The deficiency is as follows:

On May 30, 2023, LPA arrived at the facility and immediately observed upon entry at 11:23am that the metal hinge to the medication cabinet was broken. LPA opened the medication cabinet and observed the clients’ medications were unsecured and accessible. Staff #1 (S1) and Staff #2 (S2) were made aware during the inspection. Per S1, management was notified on May 29, 2023 that the hinge was broken. On the same date, at 12:35pm, LPA observed Admin Castro repairing the broken hinge with a screw gun and was corrected during the visit.

Therefore, based on LPA's observations, a deficiency is being cited as per Title 22, Division 6, Chapter 1 of the California Code of Regulations. See the attached LIC809-D.

An exit interview was conducted with Administrator Jon Castro, and a copy of this report including the LIC809-D were provided during today’s visit.