Routine inspection (multi-day)·June 30, 2023

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 05/23/2023. The LPA met with staff at 2:32 PM and explained the reason for the inspection. The Administrator was contacted an informed of the inspection. Administrator Cilva Toume arrived during the inspection. During today's inspection the LPA conducted a physical plant tour and reviewed facility records. The LPA reviewed records for five residents. Files were reviewed for but not limited to admission agreements, medical assessment, needs and service plans, and physician orders. Resident #1 (R1) has a diagnosis of dementia and has a medical assessment older than one year (2/18/2022). Resident #2 (R2) has a needs and service plan older than one year on file (05/09/2021). Files were otherwise complete. The LPA reviewed four staff files for but not limited to, criminal record clearance, personnel records, physicals, and training records. Files reviewed were complete. During the physical plant inspection, the LPA observed all five residents had half bed rails. One out of the five residents did not have a physician order on file for the rails. Pursuant to the California Code of Regulations, Title 22, Division 6, the following deficiencies was observed and cited during the visit. See LIC 809-D. Exit Interview conducted and the report was reviewed with the Silva Toume. Appeal Rights and a copy of this report has been issued.