Follow-up on corrections·March 18, 2025

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to cite a deficiency identified during a separate complaint investigation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Victor Loera. LPA then met and discussed the purpose of the visit with Co-Administrator Nikita “Nikky” Mundhada, who arrived shortly after. Interviews of multiple staff and multiple outside sources unanimously corroborated that caregiver Staff #1 (S1) was unable to speak English. [See LIC811 Confidential Names List for a description of select person identifiers used in this report.] Outside sources expressed this was an impediment to person-centered communication with residents who have cognitive impairment. LPA met S1 in person and observed that they were unable to communicate in English, even at a basic, conversational level. Both facility administrators stated that they usually have an English-speaking staff working alongside S1, and that S1 knows how to use a language translation app on their personal smart phone. LPA observation and staff interviews showed there were six (6) residents in care, of whom one (1) was bilingual English/Spanish, one (1) spoke only Mandarin, and the remaining 4 had English as their primary language and did not speak Spanish. The preponderance of evidence still showed S1 was unable to effectively/efficiently communicate with a majority of residents in care. One (1) deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D page). A Plan of Correction was jointly developed with the Licensee. LPA also provided Technical Assistance (TA) to Licensee regarding storage of nutritional supplements and requirements related to diabetes care. An exit interview was conducted with Co-Administrator Nikita “Nikky” Mundhada, to whom a copy of this report, the LIC 809-D, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.