Follow-up·June 20, 2023

LPM Liza King arrived at the facility and met with caregiver (CG) Bella Ramos who is a livein caregiver. The licenssee has been out of the country since the beginning of May. This CG reports that there normal schedule is 4:30 pm to 6am and they work alone during this time period 7 days a week for the past few weeks. CG has been employed for about a month. A check of Guardian shows CG is fingerprint cleared but not associated to the facility. 2 additional CGs arrived at the facility at 7:20 and are fingerprint cleared and associated. A tour of the facility revealed there are 6 residents whom reside at the facility one of which was sent to the ER earlier in the day. 2 residents require assistance w transfers, several residents appear to be confused, one resident is spanish speaking. CG has no access to personnel files or resident files, in the event of an emergency the CG would contact the licensees husband for assistance. The CG has no access to responsible parties numbers. A facility sketch was not reviewed or present, staff bedroom was observed to be unlocked with medications present (right side of hall door 2), this door cannot be locked, there is no room for the medications to be locked with resident medications and no other locked area per LPM observations and reported by CGs. Area undersink lock broken and all chemicals accessible. Garage door is unlocked chemicals accessible in unlocked cabinets, some locks are broken others are not but all are unlocked. CG does not have key. The last door right side of hall labeled "office" unlocked and used as a storage area, no toxins observed, fall hazard present - room has plastic bags and boxes piled up. Kitchen was observed to be clean and resident medications were locked in cabinet. Refrigerator had a lock which was removed during visit. The following citations were issued per Title 22 regulations. The RO reserves the right to return at a later date to issue additional citations based on the information provided above incl the absense of the Admin / Licensee from the country without notification to the department. The report was reviewed with CG 1, 2 and 3. The report and appeals rights will be provided via email on 6/21/2023 A LIC500 shall be submitted to the department by end of day 06/22/23.