Facility Evaluation Report

Licensing Program Analyst (LPA) Canela arrived unannounced and met with care staff April Cervantes, Administrator Angelina Simi arrived at the end of the visit.

During the course of a complaint investigation, LPA discovered the facility failed to report an incident that occurred on 11/25/2024 when resident R1 AWOL the facility. Facility had seven days to submit a written report to Community Care Licensing. Facility had another incident on 12/2 and stated they will be submitting that report on time. During todays visit LPA also observed some gadgets on the front door, back door and office door that can be used to prevent a door from opening. LPA asked Administrator to remove those immediately even if they are stated to not being used. LPA also requested the facility to remove the front gate latch that appears to have a key hole to possibly lock. LPA explained that even if they state they are not locking it, they may not use it unless they apply with CCL and the fire department and CCL approves for a locked perimeter. During today's visit LPA also found 1 staff working S1 who was fingerprint cleared but not associated. There was an additional staff S2 who has is also employed but was also fingerprint cleared and not associated. LPA verified both have fingerprint clearances but not properly associated to this facility. LPA went over procedures and provided the facility with our Regional office information to submit requests if they are having technical difficulties with the departments Guardian link. LPA explained failure to properly associate staff may result in civil penalties being assessed, although one was not issued today.

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.