Follow-up on corrections·September 9, 2024

Licensing Program Analyst(LPA) conducting a case management visit, at approximately 3:00pm on 9/9/24, and met with Monicah Gacegu-Licensee/Administrator. There are currently six (6) residents in care. This case management is being conducted to address deficiencies found during the complaint inspection of earlier today. The deficiencies are unrelated to the complaint investigation. LPA observed that the living room slider door has a broken lock, when the slider is in lock position it still opens up, this is a health and safety risk to residents in care. This deficiency will be cited, 87303(a) Maintenance and Operation- The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors, see LIC809D. Per interviews and resident record requests, R1 lacks admittance documents as required per regulation, no records on-file/on-site for R1. This deficiency will be cited, 87506(a)(b) Resident Records- The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff, see LIC809D. Per interviews, and record requests, S2 lacks required staff training for direct caregivers, the forty (40) initial required RCFE training hours. Staff S2 has worked approximately for six (6) months. This deficiency will be cited, 87411(c) Personnel Requirements – General, All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69, see LIC809D Licensee/Administrator has agreed to submit an updated personnel report, LIC500, of staff schedule, days/hours working, 24/7 staffing. Licensee/to submit copy of R1's appraisal, and copy of R1's care plan, copy of facility activities, and resident roster. Submit the above records by 9/12/24. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited, see LIC809D. Failure to correct deficiencies as required may result in additional citations and civil penalties, including deficiencies re-cited within 12 months. Exit interview conducted. Appeal Rights Given to Monicah Gacegu-Licensee/Administrator.