Facility Evaluation Report

Licensing Program Analysts (LPA)’s Janira Arreola and Abdoulaye Zerbo, conducted an unannounced visit to the facility to conduct a Plan of Correction (POC) Visit. The purpose of this report is to document the POCs that were previously agreed upon. LPAs met with Staff, Inarcidye Astrile who was informed of the purpose of the visit. LPAs conducted a walk through, conducted interviews and records review.

During Annual Visit conducted on 9/26/2024 the facility was cited for California Code of Regulations (CCR) Section 85095.5(b) for not having an infection control plan. The POC was to submit proof of Infection Control Plan by the POC due date of 10/18/2024.

During Case Management Visit conducted 10/7/2024 the facility was cited for CCR 80061(b) for not reporting incidents occurring to clients. The POC was to conduct an in-service on reporting requirements and submit proof by POC due date 10/21/2024.

During Case Management Visit conducted 10/7/2024 the facility was cited for 80075(k)(1) lose medication on the floor of a client room, The licensee agreed to conduct an in-service on medication administration and submit proof by POC due date 10/21/2024.

During Case Management Visit conducted 11/5/2024 the facility was cited for 85066(b) for not having a personnel roster. Licensee agreed to send proof of personnel roster by POC due date 11/12/2024.