Follow-up on corrections·June 5, 2025

Licensing Program Analysts (LPAs) LaVette Farlow and Edith Conchas arrived at the facility to conduct a case management visit for deficiencies observed during complaint visit for control number 56-AS-20250603100246. LPAs observed, Licensee Caroline Armstrong, did not have chemicals locked and secured and inaccessible to residents in care. LPA's observed during the tour that residents medication was found unlocked and not secured in the following areas; pantry, kitchen cabinets and in the garage in several boxes and bags in plain view and exposed as well as in the refrigerator. LPA's observed sharps in the food pantry unlocked and not secured and accessible to residents. LPA's after doing a records review of 3 residents, LPA's observed 3 out of 3 residents files were incomplete. They were missing signatures on the admissions agreement, physicians report, Needs and service plan, Emergency contact sheets , MARs, Preplacement appraisal information, personal rights, and Telecommunication device notification form. LPA's observed licensee did not have updated LIC 500. The current staff personnel files were incomplete and missing the following documents; Health screening report, TB clearance, Personal Record, Personnel report, Criminal record, verification of training, statement acknowledging requirement to report suspected abuse of a dependent adult or elder. ***CONTINUED LIC809C*** LPA's observed 1 out of 2 staff had not been background or fingerprint cleared to work in the facility. LPA's reviewed the compliance history and observed that the licensee was issued a deficiency on 11/6/2024, for not ensuring a background clearance was completed on present staff prior to working in the facility. This is a repeat violation within the last 12 months. Based on today's observation and interview with caregivers the Licensee is cited for violation of Title 22, California Code Of Regulations. In addition, this violation posed an immediate health and safety risk to resident(s) in care. An immediate Civil Penalty of $600 is being assessed. If the deficiencies are not corrected by the following day or Plan of Correction dates, a civil penalty of $100 per day per violation begins and accrues until corrected. The licensee was also informed that an additional civil penalty may be assessed based on Health and Safety Code 1569.59 See LIC809, LIC809C, LIC809D, LIC421BG and appeal rights were discussed and provided to caregiver Caroline Armstrong. Signature on this report acknowledges receipt of appeal rights. An exit interview was conducted, appeal right discussed and a copy of this report was provided.