Correction check·July 3, 2025

On July 3, 2025, Licensing Program Analyst (LPA) Murial Han conducted a plan of correction visit for the annual inspection that was conducted on June 17, 2025. LPA met with caregiver, Irma Perez and explained the purpose of today's visit. The administrator arrived and assisted with the visit. During today's visit, LPA toured the common areas, garage, bath/shower room, dining room, living room, resident room, etc., reviewed plan of correction documents that were submitted by the administrator: The following deficiencies , which were cited on 4/1/2025 are corrected: - 87303(e)(2) Maintenance and Operation - 1569.618(c)(3) Other Provisions - 87465(c)(3) Incidental Medical and Dental Care Services - 87456(a)(2) Evaluation of Suitability for Admission - 87618(b)(3)(B) Oxygen Administration - Gas and Liquid - 87633(a)(1) Hospice Care for Terminally Ill Residents - 87303(a) Maintenance and Operation - 1569.696(a) Other Provisions - 87618(b)(3)(A) Oxygen Administration - Gas and Liquid The following deficiencies are not corrected: - 1569.625(b)(2) Other Provisions - 1569.695(c) Other Provisions - 87608(a)(3) Postural Supports During today's visit, LPA observed staff #1 (S1) did not have a completed Criminal Record Clearance. According to S1, S1 started working at the facility since 7/1/2025 and the administrator stated that S1 was a reliever and was being trained at the facility. Due to the above observation and deficiency not being corrected, a civil penalty is being assessed in the amount of $100 a day from 6/18/2025 through 6/28/2025 and will continue to accrue until corrected. A total civil penalty of $3500 ( $3300 and $200 for incomplete criminal background clearance for S1) is being assessed. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in additional civil penalties. This report is reviewed and discussed with the administrator and caregiver. A copy of this report and the appeal rights were provided