Follow-up·January 17, 2025

On 1/17/25, Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced Case Management - visit at this facility to continue with the post-licensing Inspection visit initiated on 12/19/24. LPA met with aCheryl Boehme and stated the purpose of the visit. This LPA continued with facility visit to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Facility is fire cleared for 70 residents who are non-ambulatory, 4 of which may be residents who are bedridden. Facility is approved to retain/accept 15 residents who are receiving hospice care. LPA reviewed 5 resident files (R1 - R5). Reviews include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. No issues were noted at this time. LPA reviewed 3 staff files (S1 - S3) which include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. Facility conducts quarterly disaster drill. Facility has a dementia and infection control plan in place. Based on today's visit, no deficiencies are being cited. Exit interview was conducted with Cheryl Boehme and a copy of this report was provided.