Correction check·November 4, 2022

Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC 809D on 10/17/2022. LPA De Perio explained reason for visit and was greeted by staff on duty, who contacted facility administrator (AD) Estela Kramer about visit. AD Kramer was unable to be present during time of visit, but provided consent for staff on duty, Denmark Mangova to receive and sign report. For today's visit, LPA De Perio verified that there are currently 6 residents in care, and 2 staff on duty. On 10/17/2022, licensee failed to lock disinfectants, cleaning solutions, poisons, and other items which could post a danger. LPA De Perio observed cleaning supplies and disinfectants stored in an unlocked cabinet located under the kitchen sink. This poses an immediate health, safety or personal rights risk to persons in care. Licensee has secured noted items and now has placed a new lock for disinfectants, cleaning solutions, poisons, and other items. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87309(a) pertaining to Storage Space has been CLEARED. On 10/17/22, facility failed to keep the centrally stored medication in a safe and locked place that is not accessible to residents in care, other than employees responsible for the supervision of centrally stored medication. LPA De Perio observed an unlocked mini refrigerator under the kitchen island that had bottles of liquid medications and pills. LPA De Perio also observed an unlocked medication cabinet located by the staff desk. AD locked refrigerator and cabinet. Threat reduced. This poses an immediate threat on the health and safety of the residents in care. Licensee has secured and locked noted items and medications are made inaccessible to residents in care. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87465(h)(2) pertaining to Incidental Medical and Dental Care has been CLEARED. For this visit, no deficiencies were issued at this time. No citations issued at this time. LPA De Perio conducted an exit interview with staff on duty and AD Kramer via phone call and a copy of this report and Letter of Cleared Deficiencies has been provided to the facility.