Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Annual Continuation Visit to the facility to continue the annual inspection visit initiated on 01/19/2024. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Karina Rosales Antig arrived shortly.

Today the LPA conducted a medication audit, staff interviews and finished the record review initiated on 1/19/2024.

Record Review: The LPA observed documentation for Disaster prevention and last fire drill (conducted on 12/18/2023). The LPA obtained Resident and Staff Rosters. The LPA observed five (5) out of (5) staff files. Two (2) out of five (5) staff were missing 6 hours of medication training, 4 hours of dementia training, 1 hour of general topics training and 2 hrs of Postural supports and and restricted health conditions. One (1) out of five (5) staff files was observed to be missing all annual training required.

Medications: At 3:45 p.m. a medications review was initiated for two out of five residents . Medications are centrally stored and locked in a locked cabinet in the dining area; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report and appeal rights provided.