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Source: CA Community Care Licensing Division
FACILITY EVALUATION REPORT
The inspection was an office visit conducted to review the Plan of Correction following a previous annual evaluation. The Licensing Program Analyst reviewed the submitted Plan of Correction and confirmed that it was acceptable. No deficiencies were observed during this specific visit, and therefore, no citations were issued.
The inspection identified multiple deficiencies across several regulatory areas, including immediate health and safety risks (Type A) and various compliance issues related to personnel records, staff qualifications, and resident health documentation (Type B). Key deficiencies noted include missing staff certifications, incomplete personnel files, and missing resident medical records like TB tests. The facility was issued several civil penalties and has multiple deficiencies requiring correction by specified due dates.
The facility underwent an unannounced Annual inspection on 04/29/2024. The physical plant, resident rooms, and general safety areas were generally observed to be clean and appropriately furnished. However, a critical deficiency was cited regarding hot water temperatures in resident bathrooms, which exceeded the safe limit of 120°F.
This report details a complaint investigation conducted on August 25, 2023, regarding allegations that staff were imposing restrictions on a resident's visitation. The investigation found that the allegation was unsubstantiated, as staff interviews and facility observations indicated that residents are provided opportunities to interact with others on campus.
The facility underwent an unannounced annual required visit on April 11, 2023. While many areas, including resident rooms, records, and safety equipment, were found to be in good order, the report explicitly states that the Licensing Program Analyst observed discrepancies during the visit. Only one deficiency was extracted, indicating general non-compliance was noted.
This report details an unannounced complaint investigation conducted on 06/22/2022. The investigation focused on allegations related to 'Personal Rights'. The findings concluded that the complaint was unfounded because the resident mentioned in the allegation does not reside at this facility.
The facility underwent an unannounced annual inspection with an emphasis on Infection Control. The LPA observed that all indoor and outdoor passageways are clear, the pool is locked, and documentation regarding resident records, medications, and service plans appears compliant. No deficiencies were cited during this visit.
St. John of God Retirement & Care Center
EDGARDO B. GALANG
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