Health check·August 30, 2023

On 8/30/23 at approximately 10am, Licensing Program Analysts (LPAs) Jennifer Fain and Kesha Lewis arrived unannounced to conduct a Health and Safety Check/ Quarterly Visit. LPAs met with Lani Calagui, the administrator and explained the reason for the visit. On arrival several residents were watching tv in the common area. One resident was visiting with a home health nurse, One resident was in the living room on his phone. One resident was visiting with family and having a therapy visit for new admission assessments. LPA Checked the following areas per Noncompliance conference: Hire additional staff or begin utilization of staffing services by 5/9/2023 *** Two live in staff have been hired, two additional staff on call Submit a water heater repair or replacement invoice by 5/9/2023 ****Water heater repaired. Water temperature was 106.9 degrees Fahrenheit. Licensee is keeping a water temperature log. Conduct a self-audit of resident files and ensure all files are in compliance by 6/1/2023 **** Files were missing several components. Licensee stated she had requested TSP for file review at the Noncompliance Conference (NCC). 809 from conference does not state TSP was requested. LPA Fain will request TSP for Licensee. Administrator to complete an additional 10 hours of training on regulation compliance by 6/1/23 **** Hours completed and certificates received 8/16/23 Deficiencies are being cited from the Health and Safety Code (HSC). Failure to correct deficiencies may result in the assessment of civil penalties. An exit interview was conducted and a copy of this report and appeal rights were provided to Lani Calagui.