Facility Evaluation Report

On 01/25/24, Licensing Program Analyst (LPA), Grace Donato conducted an unannounced case management- legal/non-compliance inspection to monitor the facility operation. LPA met with Administrator, Jason Pineda, and explained the purpose of the visit.

A non-compliance conference was held on November 9, 2023. During non-compliance meeting, the following violations were discussed : General Food Service Requirements , Reappraisals , Storage Space , Incidental Medical and Dental Care , Alterations to Existing Building or New Facilities , Postural Supports , Care of Persons with Dementia, Exceptions for Health Conditions, Maintenance and Operations, Emergency Disaster Plan, Emergency Plans, Fire Clearance, Care of Bedridden Residents.

During the visit, LPA reviewed four resident records, all have updated and signed appraisals. Chemicals are all in a locked cabinet. Medications are updated and logged in centrally stored medication and are in a locked cabinet. Food supply in the facility is enough and there are no expired food found. Emergency drills are conducted quarterly, latest of which is done on October, 29, 2023. Kitchen sink has a permit issued on 9/26/200 hence it's been there before the facility was licensed in 2019. Room 3 wall has been patched and fixed. Fire clearance was not approved for bedridden residents, but as of now no residents in the facility are bedridden. Facility has an updated LIC610 Emergency Disaster Plan. Door alarms for rooms of dementia residents are in good working condition.

LPA observed two residents, R3 & R4, who were previously bedridden are capable of transferring with assistance and when in bed are able to turn and move on their own. LIC602 for both were also updated to be non-ambulatory.

No citations issued today. Report is reviewed with Administrator and a copy is provided.