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25 | Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 01/24/2025. LPA Mosley entered the facility at 9:30a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Administrator arrived shortly thereafter. LPA met with the Administrator, Anna Lee and explained the reason for the visit. The LPA briefly toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.
RECORDS: Resident Records were reviewed beginning at 10:02 a.m. and personnel records at 11:00 a.m. Five (5) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. Five (5) personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order.
INTERVIEWS: Two (2) staff and one (1) resident interviews were conducted during the inspection. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interviews revealed that no concerns were noted or voiced at the time of the visit.
No deficiencies were cited during today’s inspection. Exit interview conducted. A copy of the report and appeal rights were provided.
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