Routine inspection (multi-day)·March 20, 2024

On March 20, 2024, Licensing Program Analyst(LPA) John Calandra, arrived at the facility at 9:08 AM to complete the Annual Inspection started on February 23, 2024. LPA Calandra was greeted by Licensee/Administrator, Alice Zhang and explained the purpose of his visit. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records(CSMR) kept at the facility. LPA Calandra reviewed 5 client records and 5 staff files. All resident files were observed to be complete however staff files were observed to be missing documents. LPA Calandra interviewed 5 residents and 3 staff. A Technical Violation was provided for not having documentation of quarterly emergency drills. The Facility received a Type B Violation for not ensuring all personnel are in good health and physically and mentally capable of performing assigned tasks. Deficiencies of the California Code of Regulations, Title 22 are cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties This report was reviewed with Alice Zhang, Licensee/Administrator and a copy of the report left at the facility.