Facility Evaluation Report

On 4/23/2025 LIcensing Program Analyst (LPA) Santino Fortes and Licensing Program Manager (LPM) Romeo Manzano made an unannounced visit to open a Personal rights complaint with ADM Aaron Coronel. During visit there were 5 staff and 6 residents observed.

During inspection visit, LPA and LPM arrived at the facility at 8:15am and met with 3 staff (S1-S3) in the dining/kitchen area. Five residents (R1-R5) were observed in the living room watching TV with Staff(S4). Staff stated breakfast service had just finished. LPA/LPM met with R6 at approximately 9am.

While LPA and LPM were in the kitchen/dining area, deficiencies were observed and being cited during today's visit, see LIC809-D. The following deficiencies were observed as follows: Resident restrained in wheelchair by a strap.

Medications are found accessible in a brown observed on top of an office table (against the wall on the left facing the street) in the main dining room accessible to residents in care. Staff S1-S3 stated that it belongs to 4 residents, R1 to R4. Staff stated that the medications were received last week and have not been logged to the Centrally Stored Medication form for May 2025. Staff were aware that medication has to be locked but when asked why medications were on top of the table unlocked, they were not able to provide an answer.

Staff were not administering medication during LPA/LPMs arrival or visit at the facility. LPA/LPM observed that the centrally stored medication cabinet next to the coffee machine/stove was unlocked. Staff/ADM agreed that medication cabinet must be locked at all times. LPA/LPM also provided guidance of the importance of keeping medication inaccessible residents. LPM provided guidance Title 22, Code Section 80075