Correction check·November 7, 2023

On November 7, 2023, Licensing Program Analysts (LPA) John Calandra and Audrey Jeung conducted an unannounced plan of correction (POC) visit to clear deficiencies cited during an Annual inspection made on October 27, 2023. LPAs Calandra and Jeung met with Nieves Sulayao, caregiver, and explained the purpose of their visit. LPAs Calandra and Jeung toured bedroom 5 on the first floor, downstairs and observed Nieves Sulayao, caregiver open the door to the outside and heard an audible alarm. LPAs Calandra and Jeung observed all medications to be locked up and inaccessible to persons in care in the kitchen. The facility submitted a copy of the 610e-Emergency and Disaster Plan on November 4, 2023, and a letter stating that all staff had completed a emergency drill on October 30, 2023. Deficiency 87616(b)(1) -Exceptions for Health Conditions and still exist, as plan/proof of correction has not been received by the department. On 11/7/2023, LPA Calandra and LPA Jeung observed proof of correction. Acknowledgement of corrections is given to caregiver--1 page. Civil Penalty of $1000($100 per day x10 days) is hereby assessed for the period of October 28,2023 to November 6, 2023 for failure to correct deficiency 87204-Fire Safety. Administrator submitted Plan of Correction on November 7, 2023. See LIC421FC and POC letter. Report is reviewed with Administrator and copies are provided.