Non-compliance follow-up·February 21, 2025

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a quarterly monitoring visit. LPA Moleski met with facility administrator Sangeetha Vipulananda and explained the purpose of the visit. LPA Moleski reviewed four resident files (R1-R4) and one staff file (S1). LPA Moleski reviewed two incident reports for R4. One incident report, dated 2/11/25, described a staff member providing the resident with their nighttime medications instead of their morning medications. Another report, dated 12/27/24, described R4 suffering an unwitnessed fall. LPA Moleski reviewed CCLD fax and email records and did not observe any indication that these reports had been sent in within seven days of the incidents described. LPA Moleski toured the facility with Vipulananda and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 72 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 116 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. While inspecting medication storage areas, LPA Moleski observed two loose medication tablets at the bottom of a bin containing pill bottles and packages. LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives. This facility is hereby cited per 22 CCR Sections 87465(a)(4), 87465(h)(5), and 87211(a)(1)(D) . An exit interview was held with Vipulananda. Appeal rights and a copy of this report were left with Vipulananda.