Senior Care Records.

Facility Evaluation Report

Prime Care Manor, Garden Grove12/13/2021Licence 306004530

Capacity26
Census25
Date signed12/13/2021 11:21:17 AM
The inspector’s account

Licensing Program Analyst (LPA) Albert Marin conducted an unannounced case management visit and health and safety check. Via phone, LPA spoke with Administrator (AD) Abdol Arastoo; and informed AD the purpose of this visit.

AD Arastoo gave updates taken by the facility to comply with the staffing requirement discussed Non-Compliance Conference meeting held last November 16, 2021. Per AD Arastoo, he utilized the staffing registry and arranged for a staff to report to this facility. AD agreed to provide Community Care Licensing Division (CCLD) Orange Regional Office with copies of the contract with a staffing agency. AD also discussed updates on the deficiencies observed during the last visit.

LPA counted a tour of the interior and exterior portions of the facility. LPA inspected random client's rooms, common bathrooms, hallways and common area, and kitchen. LPA observed the lunch meal service which startedf about 11:00 AM. Clients lined up as the meal was served. Lunch served was consistent with the posted menu comprised of carbohydrates, proteins, and vegetables and fruits. LPA observed about 21 clients in the dining area and one staff member on the floor. LPA did not observe immediate threat on the health and safety of clients in care.

No citation was issued during this visit.

LPA Marin conducted a phone exit interview with AD Arastoo. AD gave permission for staff to sign and receive the report. LPA left a copy of this report in the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction