Facility Evaluation Report

On 09/04/2024 at 1:45pm , LPA Zina Brown conducted an unannounced continuation annual visit using the CARE Inspection Tool. LPA met with the Valenczar Aguirre, Administrator Designee and the purpose of today’s visit was explained .

LPA conducted a records review of (4) client records, (7) staff records, (4) clients Personal & Incidental Records and (3) client medications administration records. All client records were complete & all staff records were incomplete. LPA reviewed (3) Client Medication Administration Records and did not observe any discrepancies at the time of visit .

LPA observed the following not in compliance:

On 09/04/2024, LPA conducted a file review of staff files and did not observe an update CPR/first aid for all employees

no staff training for Staff #1 - Staff #7 from 2022 - 2024.

Staff #1 Adult Residential Facility Certification last completed on 02/15/2020 and expired on 02/14/2022.

Also P & I did not match the the exact written amount on file for

Client #3 ($99.84 - cash on hand, on written P & I form $114.89 which short $15.05)

Client # 4 ($702.24 - cash on hand, on written P & I form $717.24 which short $15.00)

Deficiencies Cited Under California Code of Regulations Title 22, Division 6, Chapter 1.