Routine inspection (multi-day)·June 21, 2023

On 6/21/2023 at 9:55AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Caregivers, Juliano Montero and Wilma Nacis. During visit, LPA reviewed 4 resident files and 3 staff files starting at 10:30AM. LPA reviewed a sample of resident's medications with their centrally stored records and MAR (Medication Administration Records) at 1:00PM. LPA interviewed 2 residents and 2 staff starting at 1:30PM. At 11:00AM, LPA observed R1 and R2 does not have medical assessment on file. LPA observed that R3 and R4 does not have chest x-ray results on file. At 11:15AM, LPA observed all four residents does not have reappraisal/needs and service plans on file. LPA only observed pre-placement appraisals on file. At 11:48AM, LPA observed unlocked eye drops and prescription ointments in the refrigerator. Staff locked up the items during inspection. At 12:30PM, LPA observed S2 does not have health screening on file for this facility and S1 does not have chest x-ray results on file. At 12:40PM, LPA observed S2 and S3 does not have current First Aid training. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Wilma Nacis. A copy of this report and appeal rights were provided.