Post-licensing visit·October 14, 2022

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced to conduct a Post Licensing Inspection. LPA met with executive director, Emil De Guzman. LPA toured the building and grounds with director which were clean and in good repair. Walkways and exits were clear and unobstructed. There are currently 28 residents in care. Medications were locked and inaccessible in medication room. Toxins were locked and inaccessible. LPA observed sufficient perishable and non perishable food. Fir extinguishers were last inspected April 8, 2022. Carbon monoxide detectors were present and functioning. There is a sufficient supply of hygiene products and linens on hand for resident use. LPA reviewed Personnel Policies, Abuse Reporting Procedures, In-Service Training, Medication Procedures, Addendums to Admission Agreements, and Resident Records with executive director during today's inspection. During the inspection LPA reviewed resident file regarding eviction on 08/24/2022. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this inspection: LIC500 Personnel Report LIC308 Designation of Responsibility LIC610 Disaster Plan Evidence of Liability Insurance LIC200 Application for Administrator Change Administrator's Certificate Minutes of Meeting Appointing Administrator No deficiencies cited during today's inspection.