Facility Evaluation Report

On 9/1//23 at approximately 2:15PM Licensing Program Analysts (LPAs) Jennifer Fain and Maja Jensen arrived at the facility unannounced to conduct a case management. LPAs met with co-administrator’s and explained the reason for the visit. The facility is licensed for 6 residents and currently has 5 residents in care.

LPAs provided Technical Assistance on restricted health conditions including but not limited to catheter care and diabetes, reporting requirements, evictions and resident files.

LPAs interviewed the co-administrator and based on interview, resident 1 (R1) was sent to the emergency department on multiple occasions during August of 2023, however no incident reports were received by the department.

LPAs also observed the facility to have a resident with an indwelling catheter which is a restricted health condition, however there was no restricted health condition care plan on file.

Pursuant to the California Code of Regulations, Title 22, and California Health and Safety Code deficiencies were cited.

An exit interview was conducted and a copy of this report was provided to Licensee.