Facility Evaluation Report

Licensing Program Analyst (LPA) Star Stevenson arrived unannounced at approximately 11:00 AM to conduct a required Non-Compliance Case (NCC) management inspection related to an office meeting held in Santa Rosa on 10/29/2024 the outcome of which resulted in the facility being placed on two year non-compliance plan of quarterly visits. LPA met with caregiver Ronald Lazaro who has Designation of Facility Responsibility (RP). RP called licensee Imelda Padama, who arrived at approximately 11:15 AM but then had to leave for a family commitment.

At the time of the initial office visit on 10/29/2024 the following concerns were raised to the licensee including:

1. Fire Clearance/Live-in Staff: Staff shall not sleep or reside in un-permitted/uncleared rooms or facility communal areas, LPA Karina Canela cited for the same deficiency 07/10/2023 after numerous discussions regarding the same issue on 04/19/2023, 01/25/2023, 06/28/2022, 06/02/2022, 05/23/2022.

2. Staffing: Staff must be sufficient in numbers to provide adequate care and supervision to residents in care.

3. Staff Training: Staff must complete initial training hours prior to working independently with residents.

4. Staff Medication Administration Training: Staff shall complete initial training hours prior to working independently with residents.

5. Personnel Records: Staff records shall be complete with required documentation.

6. Residnet Records: Client records shall be complete with required documentation.