Routine inspection (multi-day)·November 28, 2023

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Aging in the Bay 2 for the purpose of conducting a Case Management-Annual Continuation. LPA was greeted at the door by Back-up Administrator/Caregiver, Mary Ann Ordono and was granted access into the facility. Administrator, Charmaine Mendaros arrived 1 hour later. Upon checking background clearances, LPA observed that Back-up Administrator/Caregiver, Mary Ann Ordono was not associated to the facility (See LIC 9102-Technical Violation). LPA educated the Administrator regarding associating new employees. During this Case Management-Annual Continuation, LPA reviewed resident and staff records. Resident and staff interviews were conducted. Medication Orders were reviewed. LPA observed during the review that a resident had the label of the medication ripped off (See LIC 812-Observation) . LPA educated the Administrator regarding labels on medications should be clearly read and identifiable to the medication, dosages and prescribing physician (See LIC 809D). During record review, LPA observed that 2 out of 4 residents did not have Reappraisals conducted yearly as outlined in Title 22 regulations (See LIC 809D). LPA educated the Administrator regarding the importance of conducting reappraisals annually as outlined in Title 22 regulations. LPA requested the following documents to be sent: LIC 500-Personnel Report, LIC 308-Designation of Responsibility, Liability insurance, Control of Property, Client Roster and Staff Roster Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted, and a copy of this report was signed and given to the Administrator.