Facility Evaluation Report

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Vidan Barias and explained the purpose of the visit. LPA Moleski reviewed five resident files (R1-R5) and three staff files (S1-S3). R1's file contained hospital discharge paperwork from a stay dated 3/31/25 through 4/3/25. The discharge documents indicated R1 was admitted for a clogged catheter, and was diagnosed with sepsis and a UTI. LPA Moleski reviewed an after visit summary for R1 dated 4/6/25 for a hospital visit for a transient ischemic attack. LPA Moleski reviewed a third hospital visit summary dated 4/12/25 through 4/16/25. R1 was admitted due to acute respiratory failure. LPA Moleski reviewed incident report records received by the Community Care Licensing Division (CCLD) and observed that only the second visit, dated 4/6/25, was reported by facility staff. While reviewing resident files, LPA Moleski observed that start dates for medications were not recorded, which means an audit of medications to ensure accuracy of doses is not currently possible. LPA Moleski toured the facility with Barias and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 78 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 112 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguishers, and working carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions. LPA Moleski interviewed one staff member (S1) and one resident (R2). This facility is hereby cited per 22 CCR Sections 87465(a) and 87211(a)(1). An exit interview was held with Barias. Appeal rights and a copy of this report were left with Barias.