Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an inspection and gather documentation regarding an incident at the facility. There were 2 care staff and 4 residents on site at the time of the inspection Two residents were attending their Day Programs.

LPA found the facility to be clean and well-organized. Care staff were busy attending the needs of the residents and preparing lunch. LPA requested resident records and staff were unable to access them on line or on site. LIcensee Leah Davis (LD) was contacted by LPA. LD reported that she has been working to transfer information via software programs but there were no records on site. A technical advisory had been issued regarding this issue on 8/13/2024, with records able to be accessed by 8/16/2024. LPA informed LD that the regulation has not been met. (See LIC 809-D).

Deficiency is cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.