Facility Evaluation Report

Licensing Program Analyst (LPA) Star Stevenson arrived unannounced at approximately 10:45 AM to conduct a required 1-year annual inspection and 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 11:30 AM to further assist with today's inspection and left at approximately 12:10 PM.

At the time of the NCC 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.

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.