Routine inspection (multi-day)·July 15, 2024

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual continuation - case management visit at the facility. LPA met with Zara Poghosyan and Tanya Quezada Administrator and explained the reason for the visit. On 7/13/24 LPA Flores conducted an initial annual visit. During today's visit LPA Flores reviewed the following CARE inspection tool domains: Infection Control, Staffing, Personnel Records/Staff Training, and Residents with Special Health Needs. LPA reviewed 5 staff files. Administrator certificate was observed for Tanya Quezada #6056570740 expiration date: 7/8/24. Per staff documents were submitted to the department for renewal on 6/10/24. LPA reviewed Infection Control Plan was last reviewed on 5/11/22. During the visit of 7/13/24 LPA observed resident #1(R1) on room #227 had half bed rails on the bed. R1 does not have a bed rail request on file. During medication review conducted on 7/13/24 LPA Flores observed Resident #2(R2) had medication prescribed. However, the medication was not found during the review of medication. Med-Tech search for the medication but it was not found. LPA interviewed 8 residents and 4 staff during this visit. Deficiencies are noted on LIC 809D per Title 22 Regulations. Exit interview was conducted with Zara Poghosyan and Tanya Quezada and a copy of this report, LIC 809D, and appeal rights were provided.