Pasa Alta West

Based on record review and staff interview, the Administrator does not have a valid Residential Care for the Elderly Administrator Certificate but has a Adult Residential Facility Administrator Certificate that expires on 01/20/2026. This poses an potential health, safety or personal rights risk to persons in care.

Based on observation, the Administrator did not comply with the section cited above in that LPA observed debris and unused items around the yard and in the outdoor passageways which posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the Administrator did not comply with the section cited above in that disinfectants/cleaning solutions were observed to be unlocked in the kitchen cabinet under the sink. Additionally, few kitchen knives and sharp objects were also observed in one of the kitchen cabinets unlocked and accessible to the residents which posed an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the Administrator did not comply with the section cited above in which LPA was greeted by Staff/DSP I inside the facility (by the front door) and Staff/DSP I was observed not wearing a face covering/mask, while working inside the facility. Another staff who works for a 3rd party vendor was also observed not wearing a face covering/mask. Also, Staff did not conduct covid screening to the LPA upon entry and had to be prompted. LPA also observed that facility has insufficient supplies of PPEs which posed an immediate health, safety or personal rights risk to persons in care.