Follow-up on corrections·January 30, 2025

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced case management visit to follow up on the deficiencies cited on 12/30/2024. LPA Rai met with Administrator, Dieu-Qui H Nguyen and stated the purpose of today's visit. During visit, LPA observed 3 staff and 5 residents at the facility. 2 Out of the 3 staff were associated to the facility and obtained a Criminal Record Clearance. Staff (S2) is working at the facility as a caregiver, providing care and supervision and does not have a Criminal Record Clearance and associated to the facility. During visit, LPA observed S2 assisting R1 with walking from R1's bedroom to the living room. S2 stated he/she provides care and supervision to the residents in care. LPA Rai observed S2's medication bottles with medications in staff room. During visit, LPA Rai did observe S3's staff file to be complete and present in the facility for LPA Rai to review. Deficiencies are being cited per California Code of Regulations, Title 22. See LIC 809-D. A civil penalty is being assessed for the amount of $500 for S2 working in the facility for more than 5 days without receiving criminal record exemption transfer approval. The civil penalty will be for $500 ($100 per day x 5 days = $500). See LIC421BG. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. LPA Rai provided Letter of Deficiency Citations Cleared . Deficiencies are being cited per California Code of Regulations, Title 22. See LIC 809-D. This report was reviewed with Administrator Dieu-Qui H Nguyen and a copy of the report and Appeal Rights were provided.