Correction check·November 8, 2024

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conducted a case management to follow up on deficiencies that were cited on 10/30/2024. LPA met with Administrator (ADM) Biao Zhang. During the annual inspection on 10/30/2024, LPA Tarin observed medication and sharps in two separate unlocked drawers in the kitchen. During tour of resident rooms, LPA Tarin observed in R3's bedroom (resident room #3), medication in an unlocked dresser drawer. R3 has neurocognitive disorder and shares a bedroom with R2. R3 did not have an updated physician's report during visit. Deficiencies were issued for unlocked sharp and medication, and for R3 not having an updated physician's report (R3 has neurocognitive disorder). During today's visit, LPA Tarin toured the kitchen. LPA Tarin observed all kitchen drawers free of sharps and medication. LPA Tarin observed medication and sharps in a locked kitchen cabinet (above countertop, near kitchen sink). LPA toured R3's bedroom and observed no medication in unlocked dresser drawer. ADM stated medication has been moved to a locked cabinet in the kitchen. LPA Tarin observed medication in a locked kitchen cabinet, inaccessible to residents. LPA Tarin toured 4 additional resident room and checked dresser drawers and observed no medications in the dresser drawers. ADM provided LPA Tarin with documentation for R3's updated physician's report. ADM states R3 had an assessment with his/her physician on 11/7/2024, and is awaiting the updated physician report. ADM states the facility will submit a copy of the physician's report to LPA Tarin once it is received. See LIC 809C LPA Tarin cleared the deficiencies cited on 10/30/2024 during today's visit. A Letter of Deficiency Citations Cleared was printed and provided to ADM during today's visit. No deficiency was cited per California Code of Regulations, Title 22. This report was reviewed with Administrator, Biao Zhang and a copy of the report was provided.