Routine inspection (multi-day)·June 18, 2024

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced continuation annual visit at the facility using the CARE inspection tool. LPA met with Aura Molina and explained the reason for the visit. On 6/13/24 LPA Flores conducted an initial annual visit. During today's visit LPA completed the following CARE inspection tool domains Infection Control, Operational Requirements, Personnel Records/Staff Training, Resident Rights/Information, Incidental Medical and Dental, Resident Records/Incident Reports, Residents with Special Health Needs. LPA reviewed Emergency Disaster Plan last reviewed on 6/13/24 and Infection Control Plan last reviewed on 6/14/24. Last fire drill was conducted on 5/7/24. Staff have completed 20 hours of training. Hospice files are in place for those residents on hospice. LPA reviewed medication and files for 10 residents and 10 staff. Staff #8 and #9 were missing a TB test and Staff #11 did not have a background clearance. Interview 5 residents and 5 staff. LPA obtained a copy of liability insurance. Administrator certificate was observed for Shaun Rushforth 7006201740 exp. date: 9/17/24. Deficiencies are noted on LIC 809D per Title 22 Regulations. This visit concludes the annual visit for the facility. Exit interview was conducted with Lavern Villarba and a copy of this report was provided.