Follow-up·October 1, 2024

On 10/1/2024, Licensing Program Analysts (LPAs), L. Hall and D. Doidge arrived unannounced to conduct a case management visit. LPAs met with Caregiver, Rizalina Hutchko. House manager, Arvin Franco, arrived at 12:10pm, and LPAs explained the purpose of the visit. Case management visit was for a follow-up for an annual inspection completed on 8/20/2024. During visit LPAs reviewed the three (3) resident records and five (5). All resident and staff records are incomplete. LPAs toured facility and observed three (3) residents. During record review LPAs observed two (2) of three (3) residents are non-ambulatory. Facility fire clearance for the facility is for six (6) ambulatory residents only. The following deficiencies were observed: At 11:45am, LPAs observed facility did not have supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises At 12:40pm, LPAs observed during record review that the facility have two (2) non-ambulatory residents but does not have a non-ambulatory fire clearance. Continued on LIC809C. Continued from LIC809. *An immediate civil penalty will be assessed on today's date for $500.00 for fire clearance* Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights, LIC421M, and this report provided.