Follow-up·April 28, 2022

On 4/28/2022, while at the facility for another reason, Licensing Program Analysts (LPAs) L. Ibo and K. Nguyen conducted an unannounced case management visit and met with Administrator OBED D'AUTRUCHE. Administrator admitted that he did not submit incident report regarding bed bugs few months ago. LPAs explained the importance of completing the Incident Report for each occurrence regarding each resident and submitting the written LIC 624 to CCL within 7 seven days. Serious incidents will need to be reported within 24 hours to CCL, Ombudsman, Police and authorized representative as required. LPAs conducted technical assistance with the following topics but not limited to; covid19 posters needs to be posted at the front door and common areas at the facility, covdi19 screening station with logs for all visitors, residents and staff and hand sanitizer should always be available at the front entrance. Administrator stated they will comply with Title 22 regulations regarding reporting requirements. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC-9099 D. Failure to submit proof of correction (POC) by plan of correction due date or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and copy of this report provided.