Correction check·April 18, 2024

Licensing Program Analysts (LPAs) Kimberly Lyman and Michael Tea made an unannounced Plan of Correction (POC) visit to the facility for the purpose of following up on citations issued on LIC form 809D during the annual required visit on 04/02/2024. LPAs were greeted and granted entry into the facility by Caregiver Anita Sacamay and explained the reason for the visit. *Deficiency cited under Title 22 Regulation 87705(f)(2) pertaining to Care of Persons with Dementia (Inaccessible items) has been cleared. During today's visit, LPA observed noted items on LIC 809 are secured and inaccessible to residents in care. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87303(a) pertaining to Maintenance and Operation has been cleared. During today's visit, facility has no odor. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87355(e)(2) pertaining to Criminal Record Association has been cleared. LPAs observed Staff 1 is associated to the facility. Licensee has complied with the terms of the POC. *Deficiency cited under Health and Safety Code 1565(c) pertaining to Emergency Drills has been cleared. Facility provided proof of emergency drill. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87412(c) pertaining to Personnel Records has NOT been cleared. LPA consulted with Licensee regarding training topics and reorganization of training proof and Licensee has agreed to resubmit training by close of business 04/25/2024. Licensee addressed all items noted on the advisory note issued 04/02/2024. Licensee has been advised to maintain all items especially those that were previously deficient in the facility in accordance with Title 22 Regulations. Copy of this report was provided to the facility.