Facility Evaluation Report

On 11/14/24 at 1:00pm, Licensing Program Analyst (LPA) Kevin Gould conducted a case management deficiencies inspection to address deficiencies observed while conducting a complaint investigation. LPA met with Licensee, Diana Garcia to discuss the inspection.

LPA observed the facility is not disposing of resident's used syringes in a manner consistent with title 22 regulations, LPA observed a overflowing syringe container and used syringes in an unlocked cabinet near the living room. LPA was made aware of an aggressive act by a resident against a staff member. LPA was informed the resident attacked a staff member (S1) in September 2024 and no report was provided to the department. The facility did not meet title 22 regulations for reporting requirements.

LPA conducted file review for all residents and observed several residents diagnosed with dementia with identified behaviors of inappropriate behaviors, wandering and aggressiveness. LPA reviewed the current staff schedule and did not observe an overnight staff member available to meet residents needs. Per LPAs review of records and resident needs, LPA has determined the facility does require an awake and on duty overnight staff member.

LPA has determined the number of violations and the nature of the violations have demonstrated the administrator has not completed the duties of an administrator and has not demonstrated the knowledge and ability to remain in compliance of title 22 regulations.

Per California Code of Regulations, Title 22, the follow deficiencies are cited during todays inspection. A copy of this report and appeal rights were left at the facility.