Facility Evaluation Report

Licensing Program Analyst (LPA) JoAnn Rosales conducted a Case Management - Deficiencies visit at the facility. LPA met with staff Jorge Moreno Business Office Director who is authorized to review and sign reports .

During facility tour on 4/14/22 starting at 11:43 am with staff Moreno LPA observed peroxide multi surface cleaner and disinfectant, Quinidine Gluc ER 324 mg tablets belonging to staff #1 (S1), tequila, whiskey, vodka, wine, germicidal disposable wipes, glade spray and wood polish in S1's office accessible to residents as door was not locked. During facility tour on 4/14/22 at 11:52 am with staff Moreno LPA observed CPVC cement in the 2nd floor mechanical room accessible to residents as the door was left open. Interview with staff Moreno at 4:05 pm revealed that a Fire Drill was conducted with staff on 1/20/22. Staff provided documentation of a Mandatory All Staff Meeting dated 1/20/22 which includes Fire Drill and staff names. LPA did not observe documentation of drills conducted for each shift.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D):

Civil Penalty issued in the amount of $250.00.

Exit interview conducted, todays reports, civil penalty and appeals rights were reviewed and emailed to the Administrator.