Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a case management visit. LPA met with Administrator Michelle Song and explained the reason for the visit. During the 10-day visit for complaint #22-AS-20241010093603 LPA observed the following which is not directly related to the complaint being investigated. LPA and the Administrator toured the facility. LPA observed the See Something, Say Something Poster (PUB 475) measures 10 inches by 16 1/4 inches. LPA observed resident room 233 where Resident 1 lives did not have a smoke detector. LPA observed wires hanging from the ceiling where the smoke detector goes. The Administrator reported that Resident 1 is moving to room 321 and the staff is in the process of moving Resident 1's belongings. LPA informed the Administrator all resident rooms are required to have a smoke detector. The Administrator verified that the there is no smoke detector in room 233. Room 233 still has Resident 1's clothes and personal items. LPA interviewed Staff 1 and LPA reviewed the facility Guardian roster. Staff 1 is not associated to the facility. LPA informed the Administrator and Staff 1 that they cannot be at the facility until they are associated to the facility. Staff 1 does have a background clearance but is not associated to the facility. LPA observed Staff 1 leave the facility. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. Civil penalties being issued for the deficiencies cited; CCR 87203 and CCR 87355(e)(2). An exit interview was conducted and a copy of the report LIC 809, LIC 809D, LIC 421 IM, LIC 421 BG, provided along with appeal rights.