Facility Evaluation Report

At approximately 8:45 AM, Licensing Program Analyst (LPA) Frank arrived unannounced to continue a Required 1 Year visit and met with Facility Administrator Carla Lau. LPA was informed that there are currently thirty six (36) residents in care.

LPA conducted a sample file review of seven (7) staff members. LPA observed that one (1) staff member (staff member S1) did not have any proof of annual training in their file. LPA also observed that one (1) staff member (staff member S3) only had 9.75 hours of the required twenty (20) hours of annual training. These deficiencies will be cited. All other staff members had appropriate documentation, proof of training and current 1 st Aid and CPR certification on file. LPA also conducted a sample file review for seven (7) residents. Upon review, LPA observed all resident files to have appropriate documentation including current Service Plans and Physician's Reports. LPA spot checked Medication for seven (7) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items.

Carla Lua’s Administrator Certification 6072212740 is current with an expiration date of 9/12/2026.