Correction check·December 31, 2024

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced Plan of Correction (POC) Visit. LPA met with, Licensee, Angela Zhang, who was informed of the purpose of the visit. The following POC’s were cleared at the time of the visit: On visit date 12/04/2024, deficiency was cited for 87303(e)(2) Maintenance and Operation . Based on observation the water temperature in the facility restrooms read 122F and 125F. This posed a potential health, safety, or personal rights risk to residents in care. The POC was to adjust the water temperature to the required range. The licensee agreed to send proof of the required temperature by the POC due date of 12/13/2024. On the POC due date, LPA received photos of the hot water temperature in the master bathroom reading at 110F. LPA did not receive photos of the common restroom. On today’s visit LPA tested the hot water temperature in both bathrooms which revealed the common restroom sink has a hot water temperature of 116F and the master bathroom shower has a hot water temperature of 105.2F. Therefore, the POC has been met and the POC was cleared at the time of the visit. A clearance letter was provided to the licensee. The following POC’s were not cleared at the time of the visit and Civil Penalties are being assessed: On visit date 12/04/2024, deficiency was cited for 87468.2(a)(1) Additional Personal Rights of Residents in Privately Operated Facilities. Based on interview and observation, the private shower in the master bathroom was being used by all staff and residents due to the common restroom having a faulty shower faucet, This posed a potential personal rights, health, or safety risk to residents in care. The POC was to fix the common shower of the facility and inform the LPA when the repairs are completed in order to provide privacy to residents in the shower and in their private bedroom and ensure the facility is in good repair. The licensee agreed to send proof of the POC by the due date of 12/27/2024. LPA observed the common shower is only delivering cold water due to the repairs not being completed on the faucet. Based on staff and resident interviews, staff and residents are currently using the master bathroom shower only. Therefore, the POC has not been met and was assessed civil penalties for failure to correct. Civil penalties are being assessed from 12/28/2024 to 12/31/2024 at $100 per day. The licensee was advised that civil penalties will continue to accrue until the POC is met. An exit interview was conducted where this report was reviewed and provided.