Correction check·April 7, 2023

Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 03/14/2023. LPA was greeted and granted entry into the facility by Caregiver Leo Garias and explained the reason for the visit. Administrator Brevet Dao arrived at 9:40 am. *Deficiency cited under Title 22 Regulation 87506 (a) pertaining to Resident Records has been cleared. Resident files are at the facility and accessible. Licensee has complied with the POC. *Deficiency cited under Title 22 Regulation 87405 (a) pertaining to Administrator - Qualifications and Duties has been cleared, Licensee provided an LIC 308 with a designated back up administrator. Deficiency cited under Title 22 Regulation 87465 (h) (2) pertaining to Incidental Medical and Dental Care has NOT been cleared. LPA Mendivil observed unsecured medications in refrigerator. CIVIL PENALTY ASSESSED. Based on the observations made during today's visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the Administrator and a copy was left with facility representative as well as appeal rights.