Routine inspection (multi-day)·September 28, 2023

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced subsequent required Annual Inspection to continue the annual inspection that was initiated on 9/27/23. The complete CARE Inspection Tool was used and the visit was conducted with Dion Gallarza, Administrator. The reason for the return visit was explained. On today's visit the following domains were reviewed: Personnel Records Training, Resident Rec-Incident Reports, Resident Rights Information, Planned Activities, Food Service, Incidental M &D, Disaster Preparedness and Residents with SHN. Due to time constraints, LPA Yee was not able to review the Physical Plant and Environmental Safety Domain. A return visit will have to be conducted to complete the last domain. Facility files, training records, 10 resident files and the Emergency Disaster Plan were also reviewed during today's visit. Per review of the information requested for in each domain reviewed, there were no deficiencies observed. On today's visit, LPA Yee also delivered the Immediate Civil Penalties that were assessed for the deficiency cited as a result of the substantiated findings for complaint #29-AS-20220601142537 on 4/7/23. No deficiencies were cited on today's visit. Exit interview was conducted and a copy of this report was provided