Post-licensing visit·April 28, 2025

At approximately 2:30PM, Licensing Program Analysts (LPAs) Julie Florio and Ethel Contreras arrived unannounced to conduct a Post Licensing Continuation inspection and met with Bertrand Mendola, Designated Responsible Party (DRP). Licensee and new Administrator were unable to attend today's visit but participated via telephone for the duration of the visit. Facility is a Residential Care Facility for the Elderly (RCFE) with six (6) residents in care. LPAs immediately toured facility and observed garage is being used as staff lounge. Licensee stated that no one is living or sleeping there. Licensee states the facility conducts quarterly disaster drills but was unable to provide documentation proof of any drills completed, (see LIC809D). Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPAs observed Personal Rights poster has been placed in the main entry way of the facility. Licensee provided LPAs with documents for change of administrator to appoint a new facility administrator. LPAs observed staff files with the required proof of training and resident files with the required documents per regulation. LPAs reviewed medication records which were found not maintained in compliance with regulation as evidenced by LPAs observation of medications not listed on the Centrally Stored Destruction Log (See LIC809D). Facility does not handle P&I. Updated copies of the following documents are to be submitted to CCL within 30 days of this visit : LIC610D Emergency Disaster Plan (updated) Continued on LIC809C... Continued from LIC809... Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Appeal rights were given. Exit interview conducted with DRP whose signature on form confirms receipt.