Correction check·March 20, 2025

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced Plan of Correction (POC) inspection. LPA was greeted and granted entry by Licensee Carmen Nicholas and the purpose of the inspection was discussed. LPA is following-up on deficiencies cited on February 19, 2025, during annual inspection. Deficiency 1569.625(b)(2) was cited as annual staff training records for three staff did not include eight hours of dementia care training, and four hours specific to postural supports, restricted health conditions, and hospice care. During today’s visit, LPA reviewed staff training records for three of three staff and observed staff files to include required annual staff training. Deficiency 1569.69(a)(2) was cited as staff file for employee of the facility who assists residents with the self-administration did not contain any documentation for hands-on shadowing medication training. During today’s visit, LPA reviewed staff training records for one of one staff and observed staff file to include hands-on shadowing medication training. Both POCs have been met and 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 was left at the facility.