Correction check·April 11, 2024

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a Plan of Correction (POC) inspection. LPA met with Administrator (AD) Arvin Bumanglag and discussed the purpose of the inspection. LPA is following up on deficiencies cited on 3/21/24, during required/annual inspection. Deficiency 87465(h)(5) was cited due to resident medication not being kept in its original containers and being pre-prepared a week in advanced in a weekly medication organizer. During today's visit, LPA confirmed all resident medication is being kept in its original containers and is no longer being pre-prepared a week in advance. AD stated in-service for staff training will be conducted 4/13/24. AD will provide LPA with proof via email once completed. 87457(c)(1) was also cited due to one out of four resident files not containing an appraisal which includes an evaluation of the resident's functional capabilities, mental condition and an evaluation of social factors. AD stated resident appraisal was completed and provided LPA with completed resident appraisal dated 3/31/24. One of two deficiencies previously cited will be cleared. Based on today’s observations no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and was left at the facility.