Facility Evaluation Report

Licensing Program Analysts (LPA) Walters arrived unannounced to conduct a Case Management-Legal/Non-compliance Inspection and met with Administrator, Eugenie Broussard and Licensee, Mantu Sandhu.

LPA conducted a walk-through of facility to address area's of non-compliance that were discussed in a compliance meeting with the facility in June of 2021.

LPA made the following observations during tour with Administrator and Licensee:

Auditory alarms were found to either not working or not in place in bedrooms 2 & 4

Screens were falling off on bedroom exit 11 and 8. (pictures taken)

While LPA was present Licensee repaired the bedroom screens and called a shampooing company to have all bedroom carpets cleaned. In addition the Licensee placed auditory alarm on the bedrooms while LPA was present.

LPA also reviewed three staff records. 3 of 3 staff records reveal that staff did not have required 20 hours annual training. Additionally, residents with prohibited health care conditions have a plan to address their needs with home health.

A civil penalty was issued today for $250.00

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.