Non-compliance follow-up·August 16, 2021

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a case management- Legal/Non-compliance inspection and met with Licensee, Josephine Blancaflor. This inspection is being completed to ensure compliance with Non-Compliance Conference dated 9/4/2019. LPA conducted a Risk Assessment call with Licensee prior to the visit. CCR 87468.2 (a)(1) - Additional Personal Rights of Residents in Privately Operated Facilities - To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, phone conversations, and meetings of resident and family groups. LPA/Licensee toured the facility and reviewed current House Rules were the language that states monitors may be use was removed and replaced with the following: "No auditory monitor is placed in any resident's room". CCR 87465(c)(2) - Incidental Medical and Dental Care - If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication...facility staff designated by the licensee shall be permitted to assist the resident. Medications and medication records were reviewed. CCR 87705 (f)(1) unsecured tools accessible - The following shall be stored inaccessible to residents with dementia: (1) toxins and other items that could constitute a danger to the resident(s). LPA/Licensee observed dangerous items are stored inaccessible to residents with dementia. CCR 87465 (h)(2) - Medication accessible - Incidental Medical and Dental Care - Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. Medication was stored inaccessible to other residents. This case management-legal/non-compliance inspection is complete. No citations issued during today's inspection.