Facility Evaluation Report

Licensing Program Analysts (LPA) Araceli Canela arrived unannounced to conduct a Case Management-Legal/Non-compliance Inspection and met with Med Tech, Violet Tafalla; Administrator, Eugenie Broussard is no longer employed by this facility and Licensee, Mantu Sandhu was not available during this visit, but was available by phone and agreed to send in copies of change of administrator paperwork that they stated was previously submitted to the department, for review.

LPA conducted a walk-through of the entire 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 Staff, Violet Tafalla.

Auditory alarms were found to either not working or not in place in bedrooms 2 & staffs break room which is accessible to residents.

Bedrooms 1, 2 & 4 had child door lock covers on the doorknobs to prevent the door from opening and bedroom 1 also requires you to open both door knobs at the same time in order for the door to open. Resident R3 who is bedridden per Physician report dated 10/19/2022 was in a non-ambulatory room that was not approved for bedridden by the Fire Department & CCL

Incident report was not submitted to Community Care Licensing (CCL) for resident R4, as required within 7 days.

LPA also reviewed two staff records. 2 of 2 staff records have the required training. LPA consulted regarding correction of bedroom numbers, personal rights and resident medical assessments.

A civil penalty was issued today for $250.00 for repeated citation within 12 months and an additional $500.00 for Fire safety violation and locked resident doors. 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 & appeal of rights provided by email to licensee.