Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced and met with Licensee, Leonida Lacap. During a complaint investigation LPA discovered resident R1 recently walked out of the facility, went to a neighbors home and requested the police was called. Facility also stated they called the police regarding R1 not wanting to return to the facility and being upset and yelling.

LPA will review and get additional information regarding the incident.

The facility failed to report incident to Community Care Licensing and to R1's physician as required. LPA will review incident and return to issue any citations warranted.

LPA went over hallway bathroom that had no toilet paper and licensee explained they were told they can provided each resident with two rolls of toilet paper per month and each resident has their own. Per statements received, facility expects residents to purchase their own toilet paper if they go over two rolls. LPA went over facility requirements to supply residents with the required toilet paper. An advisory note was issued to facility, failure to correct may result in facility being cited under regulation: 87307(a)(3)(D) Personal Accommodations and Services.

LPA also once again went over master bedroom bathroom and that resident R2 and R3 can use their bedroom bathroom and this is not for staff to use. A previous Advisory note was issued to this facility regarding this matter.

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.