Follow-up·December 6, 2024

Licensing Program Analysts (LPAs) Cuadra and Frank arrived unannounced for the purpose of conducting a case management to follow up on Administrator certificate and met with staff Rodrigo Gallardo. Licensee Nick Aquino was not able to come to the facility, but gave authorization to staff to sign the report. On 6/28/23 an informal meeting was conducted in the Santa Rosa Regional Office to address concerns regarding Administrator certification at this facility and the Licensee's other facility, AA Best Care 496801684 in which Licensee Nick Aquino is the identified Administrator. During annual inspection on 7/23/24, LPA issued a citation to the facility due to not having supporting evidence that submitted required documentation received by the Department's certification unit and Licensee agreed to re-submit it timely. On 7/25/24, the facility submitted certified mail tracking number dated 7/25/24 with Sacramento department's address on it to CCL to clear the citation. However, On 12/5/24, LPA have followed up with the Department's certification unit to verify that documentation mailed was received, but they stated that they had staff trying to work with them to resolve their incomplete application for almost an entire year. After multiple notices the certification unit withdrew their application due to failure to comply with Administrator Certification renewal requirements and lack of communication to remediate their application in a timely manner for both facilities. During today's visit, LPA have a discussion with Licensee via phone regarding this issue and was told that it has been hard to appoint a certified administrator to fill out the administrator position. Per Nick, the hours needed to be completed to have their administrator certificate had been completed and they are in the process to submit required documentation for further processing. Continues on LIC809C... Continued from LIC809... However, Licensee agreed to appoint a certified administrator who will spend at least 20 hours in each facility. LPAs will be issuing a citation and Licensee have been informed that if they don't comply with regulations civil penalties will be warrant until this issue gets resolved. Upon arrival, LPAs observed two caregivers were cleaning the facility and there was an unattended Timolol Maleate 0.5% eye drop medication sitting on a table located in the common area where a resident was sitting watching tv. LPAs inquired with staff and were told that they just assisted another resident with medication, but did not put the medication in the locked medication cart. 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 with Licensee via phone and a copy of this report was given.