Routine inspection (multi-day)·August 24, 2023

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Annual Continuation Visit to the facility to continue the annual inspection visit initiated on 06/12/2023. The LPA was greeted by Caregiver Angel Leyva and informed them of the reason for the visit. Administrator Ann-Hazel Lopez arrived shortly. Today the LPA conducted interviews, staff files review, and medication audit. I nterviews: At 9:45 a.m. the LPA initiated interviews. The LPA conducted one (1) staff and two (2) resident Interviews. No immediate concerns voiced during the visit. Record Review: At 10:00 a.m. a review of staff files was initiated. Five personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Record review revealed that three staff (S1, S2, S3) out of five did not have proof of the 4 hours of annual training for postural supports, restricted health conditions, and hospice care. Three staff (S1, S2, S3) are missing 4 hours out of 8 hours of annual dementia training. Medication audit: Medications review began at 11:30 a.m.; medications are centrally stored and locked in a cabinet in the living area; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report and appeal rights provided to Administrator Ann-Hazel.