Health check·November 2, 2023

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility to conduct a quarterly case management visit. LPA met with Administrator Justice Ehimamiegho, and explained the purpose of the visit. Based on the Non Compliance Conference (NCC) on 4/12/23 the following areas will be assessed: · The Administrator is present for a minimum of 40 hours a week - Based on records review, LPA Valerio determined that the Administrator is present for a minimum of 40 hours per week. LPA received notification that facility staff Stephanie received her administrator certificate. LPA observed documents and clarified that the correct documentation has been completed and he needs to send to LPA via email/fax. · The licensee has not accepted any residents determined by a physician to have a primary diagnosis of a mental disorder unrelated to dementia - LPA observed one resident to be admitted after 08/2023. The resident did not have a primary diagnosis of a mental health disorder unrelated to dementia. · The licensee ensured that they are in compliance with the state Fire Marshall; The facility has a non ambulatory fire clearance for each room that will be used to accommodate a resident with dementia - LPA confirmed that they are within compliance. · Meals were observe d during the visit. LPA did not observe meal time; however, LPA observed a left over plate, which had pasta shells with sauce, vegetables and ground meat and a half turkey sandwich. LPA conducted observations of the meal prep area, freezer, refrigerator were conducted. LPA observed the meal prep area to have a resident's plate with name since the person did not eat yet. LPA observed the freezer and refrigerator to be fully stocked and clean from debris or spoiled food. TA was provided on a separate 809 for an emergency supply of food. Per California Code of Regulations (CCR) - Title 22, no deficiencies are being cited today. An exit interview was held, and a copy of the report was provided.