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Source: CA Community Care Licensing Division
COMPLAINT INVESTIGATION REPORT
The inspection identified four deficiencies, all classified as Type B. These deficiencies relate to incomplete resident records, specifically missing Pre-Admission Appraisals, Functional Capabilities assessments, current Appraisal Needs and Service Plans, and a lack of documentation for required quarterly Emergency Disaster Drills. All cited deficiencies require a Plan of Correction due by 07/14/2025.
The report is a Complaint Investigation Report concerning allegations of uncleared staff providing care and insufficient staffing levels. The department ultimately determined that the allegations were unsubstantiated, and no deficiencies were cited under the California Code of Regulations, Title 22.
The unannounced annual inspection revealed two areas of non-compliance related to resident records and medication management. Deficiencies were noted concerning the maintenance of updated medication forms and the presence of valid appraisal/needs service plans for all residents. Both issues require corrective action by the specified due date.
The unannounced Required - 1 Year Annual Inspection was conducted on 07/26/2022. The facility was observed to have adequate supplies, proper procedures for infection control, and sufficient food stores. No citations were issued per the California Code of Regulations Title 22.
The facility was inspected by the LPA and found to be in sanitary condition overall. The report notes that advisory notes (LIC 9102) were issued, but no deficiencies were cited during the visit. Both the facility and staff appeared compliant with current guidelines.
Tuan, Alan E. & Yang, Ruth
TUAN, ALAN
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