Facility Evaluation Report

On 9/30/22 LPA Walters arrived at this facility unannounced and was greeted by Licensee, Arvin Davis (AD) for the purpose of conducting a complaint investigation. During the course of the visit, LPA observed areas of non-compliance unrelated to the complaint.

When touring the facility with AD LPA observed that a bottle of hygiene products in resident R1's bedroom. LPA reviewed R1's physician report and learned that R1 had a dementia diagnosis. LPA explained to AD that toxins should be stored in a lock container or in an area where residents who have dementia are unable to access it.

LPA requested to review resident records and learned that all records were stored online. The Licensee needed to create a web access code for LPA to review records. Some records were available to reviewed online, and others were locked in a cabinet in the facility. Licensee stated that they didn't have access to those records. LPA explained that all records need to be in the facility and available upon demand as required per regulation.

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.