Routine inspection (multi-day)·January 9, 2025

Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced Case Management - Annual Continuation visit today at this facility to continue with the annual inspection initiated on 12/10/2024. LPA met with Administrator/Executive Director, Alyssa Sellers, and stated the purpose of this visit. LPA continued with facility visit to ensure facility is in compliance with Title 22 Regulations. Review of 9 resident files (R1 - R9) which include review of Admission Agreement, Medical Assessment, Needs and Services Plan, and Ambulatory Status. LPA did not conduct medication review during this visit. Review of 9 staff files (S1 - S9) which include review of background clearance, First Aid and/or CPR, Health Screen, Initial and Ongoing Training. It was noted that some staff completed their 1st aid training from Relias. At this time, LPA need to verify the validity of the training and may have to return for a case management visit. Facility conducts quarterly disaster drill. Facility has a dementia and infection control plan. Advisory was provided to update their plan of operation, if necessary, to ensure compliance with the new dementia regulation. Administrator provided the following documents during this visit: current Liability Insurance Certificate, LIC 610E, LIC500 and LIC308 to the Department. No deficiencies are being cited at this time. Exit interview was conducted and a copy of this report were provided.