Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to deliver findings for the above allegation and was greeted by caregiver. Licensee Jenero Jefferson was not available to come to the facility, was not available by phone and their voicemail box was full, so LPA could not leave a message. LPA sent text to licensee to advise purpose of visit

As of 12/18/24 facility has not had an administrator (deficiency cited, see 809D) . On 1/3/25 LPA conducted POC visit at facility and observed hospital discharge papers to be posted in the kitchen in plain sight for all visitors and residents to see. Hospital discharge papers for R1 and R2 were both posted in the kitchen (deficiency cited, see 809D) . CCL did not receive an Incident Report to report either hospital visit referenced in the discharge papers posted in the kitchen. CCL has only ever received one Incident Report from this facility since its license was issued (deficiency cited, see 809D) .

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with caregiver. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Exit interview conducted with caregiver and a copy of this report was given .