Facility Evaluation Report

On 07/09/24, CCL Staff, Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Talwinder Bains arrived to do a health and safety check. LPM and LPA met with Administrator, Nelson Jacinto (S1) and explained the purpose of today's visit.Upon arriving at the facility LPA, LPM and S1 toured the facility for areas but not limited to residents rooms, bathrooms, common areas, kitchen and outside areas. Following issues were observed during tour:

CCL staff observed the exterior gate of the facility had 3 points of entry. It was observed that 2 of the 3 gates had key pad locks and one gate with the key pad lock locked to another part of the gate. Licensee indicated the gates are locked so residents cannot AWOL from the facility. The facility is restricting resident's from entering and exiting the facility which was not allowed per Title 22 Regulations. Civil Penalties are being assessed today in the amount of $500.

Upon enter the facility, CCL staff observed there were no activity scheduled for residents and there were no activities calendar for residents. Additionally, the facility does not have a designated activities personnel per Title 22 regulations. During the facility tour is was observed that numerous resident's personal closets were found to be locked. Licensee indicated that only staff have access to the keys to the locks resulting in resident not having access to their personal belongings.

Resident Room #9 bathroom found to be in disrepair. The shower has a leak and is inoperable. The toilet is leaking and does not flush properly. The ceiling and wall of the bathroom has what appears to be water damage. On 06/20/2024, LPA Bains spoke to the licensee who stated the facility would ensure the bathroom would be fixed. As of this date, there were no follow up and the restroom is still inoperable. 2nd building resident's bathroom's mirror was found to be broken and not safe for resident's use.

During today's conversation with Licensee, the Licensee agrees to engage with the Department's Technical Support Program. The Department will submit a referral to TSP. Deficiencies issued are noted on the LIC809D per Title 22 Regulations. The Licensee has been reminded that failure to correct the deficiencies may also result in civil penalties. Exit interview conducted. Appeal rights were provided and copy of the report was provided.