Health check·December 8, 2023

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of conducting a health check visit and met with facility Administrative Assistant, Charito Santos. This case management inspection is to conduct a health and safety check and ensure that facility is clean and good repair. Upon entrance to the facility, LPA/staff observed a sign stating that living room will be open until 5am. Per Administrator, on 12/6/23 there was an incident where one resident have urinated and defecated in the living room, and they have to close the living room for cleaning. During today's visit, LPA conducted confidential interviews with staff and residents in care who indicated that the living room was closed two days ago for a couple hours only. Although, staff did not take the sign off the door, there are no indications that living room was closed for more than two hours for cleaning, residents were observed in the living room engaged in activities as well as watching the television. LPA/staff toured the facility and observed one of resident's bedroom door was missing and piece of cloth was clipped to the door frame to ensure resident's privacy. Per Charito, the resident who sleeps in the bedroom experiences aggressive behaviors when closing forcefully the door, the hinges were loose, so staff removed the door to fix it since 12/2/23 afternoon and it has not been fixed yet. 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. ***civil penalties are issued for repeated violation in the amount of $250. Exit interview was conducted with Administrative Assistant and copy of the report was given.