Facility Evaluation Report

Licensing Program Analysts (LPA) Christine Kabariti arrived unannounced to conduct a case management - legal/non-compliance visit. LPA met with Administrator(ADM) Samuel Apostol and Office Manager (OM) Ivonne Chavez .

The purpose of the visit is to ensure the facility is adhering to the Compliance Plan submitted to Community Care Licensing (CCL) after a non-compliance meeting held on February 8, 2024.

During visit, LPA toured the facility with OM to include all the resident bedrooms, hallways, common areas, storage and exterior. All fire exit routes were free and clear of obstruction. LPA observed signs posted next to the resident bedroom doors for the residents who are a fall risk. Fly traps observed next to exit doors, inside the resident bedrooms, smoking areas, common areas and hallways. Facility protocol for contacting 911 and what to do if a resident has a fall signs posted throughout the facility. LPA observed the facility was well-maintained.

LPA randomly reviewed 3 resident files, which included but not limited to; physicians report, needs and services plan, and admission agreement. 3 staff files were randomly reviewed and the staff training files were up-to-date. LPA observed facility maintenance log. LPA observed the fall risk log are completed daily and every 2 hours, which contains the list of resident who are a fall risk and incontinent. No deficiencies cited per California Code of Regulations, Title 22. This report was reviewed with Administrator Samuel Apostol and Office Manager Ivonne Chavez a copy of the report was provided.