Non-compliance follow-up·October 2, 2024

At approximately 9:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct a quarterly Legal/Non-Compliance visit. LPA was greeted at the door by caregivers Luisita Makalintal and Rachel Espaldon. LPA toured the building and found it to be clean and orderly. Food was plentiful and stored in a safe manner. At approximately 10:15AM, LPA reviewed 5 of 5 resident files. LPA observed 4 of 5 residents, (R1, R2, R4, R5) did not have completed re-appraisals/care plans on file. 2 of 5 residents, (R2, R5) did not have completed Pre-Placement Appraisals on file. 1 of 5 residents, (R1), did not have a completed LIC 602, Physician report on file. At approximately 11:30AM, LPA reviewed 3 staff files. 3 of 3 files contained evidence of completed First Aid/CPR certification. 3 of 3 staff files did not contain evidence of completed annual training as required by Title 22 regulation. At approximately 12:40PM, Administrator Madonna Martinez arrived at the facility. Administrator informed LPA that she is working on having resident files digitally. Administrator provided LPA with the completed LIC 602, Physician Report for R1. Administrator stated all residents have care plans, with only 1 still in process. Administrator will send completed care plans to LPA upon completion. Administrator will send LPA an updated LIC500, that details hours for Administrative work and hours for providing assistance with residents. Administrator stated staff training has been completed and will send self certification when records are updated. No citations issued during today's visit.