Facility Evaluation Report
On 12/4/23 at approximately 10am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a quarterly health and safety check. LPA Jensen met with Administrator Kent Mulkey and explained the purpose of today's visit.
On 8/22/23 a Non-Compliance Conference was held for the following areas of concern:
LPA Jensen reviewed incident reports and verified they are being sent timely. LPA Jensen observed a resident that sustained a recent injury related to a fall and reviewed the incident report for the fall on 11/26/23 which was faxed to the Department on 12/1/23 and was sent timely. LPA Jensen has also received phone calls and incident reports related to resident on resident altercations within the past week. LPA Jensen reviewed pest control documents and verified that the facility has contracted with Clark Pest Control with the last service date being 11/10/23.
LPA Jensen reviewed 4 resident files and determined that 2 of 4 resident files contained physician reports that were over 12 months old. 4 of 4 needs and service plans were determined to be current.
Deficiencies are being cited form the California Code of Regulations (CCR), Title 22, Division 6. Failure to correct deficiencies mat result in the assessment of civil penalties. An exit interview was conducted and a copy of this report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction