Follow-up·June 27, 2022

Licensing Program Analyst (LPA) Cuadra arrived at the facility for the purpose of conducting an unannounced Case Management visit and follow up on items that were concerning and ensure compliance with Informal conference conducted on 6/3/22. LPA was greeted at the door by staff and Licensees Heherson and Maggie Garcia arrived later. During today's visit, LPA observed six residents in care at the facility. LPA observed two facility staff on duty assisting residents with their lunch. LPA learned through records review, observations and interviews with Licensee that seven out of seven facility staff have CPR, 1st Aid certifications, initial training 40 hours and vaccination records which includes 100% vaccination rate for residents and staff. LPA reviewed incident report logs that confirmed that facility has been reporting incidents to CCL within regulations. Per Licensee, after continuous incidents of elopement from one of the residents, they decided to install four cameras as which are positioned in the living room, outside and inside front door and inside in the sun room. The cameras are on and have a motion sensor to detect movement only. The Licensee is required to update the facility's plan of operation when a new service is added and will elaborate an addendum to the resident's admission agreements. Licensee was given instructions of the Guidelines for Video Surveillance to assist in developing a policy. Licensee stated the cameras would be turned off at this time and would be reinstalled until a Video Surveillance policy is created. No deficiencies were observed or cited during today's Case Management visit. Exit interview was conducted and a copy of this report was provided to the facility Licensee, Heherson Garcia.