Routine inspection (multi-day)·March 20, 2025

At approximately 9:45 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a case management -- annual continuation visit to review resident files, staff files, medications, and medication logs, and met with Lilia Saddi, Licensee. At approximately 10:15 AM, LPA conducted file review. Four (4) staff and two (2) resident files were reviewed and LPA observed the following: Four (4) staff files were observed to have the required documentation per Title 22 regulations. However, LPA observed 3 of 4 staff files missing valid proof of completed required training, and 1 of 4 staff files were observed missing valid proof of the required first aid certification, (see LIC809Ds). LPA reviewed two (2) of two (2) resident files which were each observed to contain the required documents per regulation. However, LPA observed one (1) resident's file missing proof of negative TB results, (see, LIC809D). Licensee states that the facility and residents' family members coordinate residents' medical and dental appointments and transportation to and from visits. Medications and medication records were inspected and observed maintained in compliance with regulation. However, LPA advised Licensee on best practices for ensuring the medication logs accurately reflect medication start dates. Licensee conveyed understanding and agreed to bring the facility into compliance. Facility does not handle P&I. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12 month period, may result in a civil penalty assessment. Exit interview conducted with Licensee, whose signature on form confirms receipt of documents. Appeal rights provided.