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25 | Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to the facility for the purpose of conducting a POC inspection to verify correction of citation issued during the annual visit conducted on March 05, 2024. LPA arrived at the facility and was greeted and granted entry to the facility by staff. LPA met with Irish Pepito, care staff and explained the nature of the visit.
Upon entry LPA observed that residents were getting ready for lunch and were sitting in the dining room. There were five residents in care present at the facility and two staff at the time of visit. LPA toured the physical plant of the facility and inspected the resident bedrooms. LPA observed that resident bedrooms are two shared and two private. It was observed that bedrooms one and five are now shared bedrooms with two resident per. Bedrooms two and three are private with one resident per.
Based upon this inspection, LPA observed the following:
*Deficiency cited under Title 22 Regulation 87307(a)(2)(D) has been cleared. The licensee complied with the terms of the citation by POC due date.
LPA at the time of visit cleared the POC, generated a letter of deficiency citations cleared, and left a copy of the letter at the facility for their records.
Exit interview was conducted with facility representative and a copy of this report was provided to the facility. |