Correction check·May 6, 2025

At 10:56 A.M. LPA Conway conducted an unannounced Plan of Correction (POC) visit to follow up regarding the plan of corrections that were due for submission. The LPA was greeted by Nonso Enemchukwu. LPA informed the reason for the visit. Caregiver contacted the facility representative by phone, Laila Kulungu. At 11:56 A.M. facility representative arrived. At 11:57 A.M. Licensee, Joseph Jose, was contacted by phone and informed of LPA’s visit. Neither administrator nor Licensee were available during today's visit. due to distance, but authorized facility representative, to sign today's reports. Reason for the visit was stated. Entrance interview conducted. During required annual visit on 04/16/25, LPA cited CCR 87219(h)(1) with a due date of 04/30/2025 and CCR 87412(d) with a due date of 05/01/2025. As of today, these two (2) plans of corrections for deficiencies cited have not been cleared. On 04/24/25, LPA Conway, requested information from the Administrator Certification Bureau (ACB) Department regarding the status of the administrator on record. In response, the ACB indicated that administrator on record, Yusuf Ibironke, has administrator certificates for RCFE: 7033113740. Expiration date: 1/16/2025 and ARF: 7033113735. Expiration date: 4/5/2023. According to ACB records, no renewal applications have been received at this time. Continued on LIC 809-C Continued from LIC 809 In regard to the facility’s patio area, which was found to be inadequately furnished during the required annual visit, the LPA requested that the licensee provide proof of purchase and a photo of the installed patio furniture by 04/30/25. On 05/01/25, the LPA emailed facility representative to follow up, as the due date had passed without submission. On 05/02/25, the facility representative texted proof of purchase, indicating a scheduled delivery time of 11 A.M. on the same day. The LPA requested a photo of the installed patio furniture be submitted by the end of the day on 05/05/2025. During today’s visit LPA observed unopened boxes containing patio furniture on the facility premises. While conducting this visit facility staff assembled patio furniture. POC met. A civil penalty of $100 per 5 days was assess for not correcting deficiency under CCR 87412(d), and a civil penalty of $100 per 6 days was assess for not correcting deficiency under CCR 87219(h)(1) before the POC due date (Refer to LIC 809D from original annual visit on 4/16/2025). During today’s visit, at 12:00 P.M., LPA conducted a physical plant tour inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The following deficiency was observed. The fire door was once again improperly held open using a doorstop. During the annual visit on 04/16/25, facility representative acknowledged that the door would remain closed at all times in compliance with fire safety requirements. An immediate civil penalty of $1,000 repeat violation is assessed today due to being cited for the same violation within 12 months. Administrator was informed that additional civil penalties might be assessed based on Health and Safety Code 1569.49(e) and 1569.49(f). Pursuant to Title 22, California Code of Regulations, the following deficiencies are cited (refer to LIC809-D). Exit interview conducted, deficiencies cited, civil penalties assessed, appeal rights discussed, and a copy of this report issued to the facility representative.