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25 | Licensing Program Analyst (LPA) Tung Truong arrived unannounced to conduct a case management visit on 5/15/2024. LPA met with Administrator Salote Lewis and stated the purpose of today’s visit.
The purpose of today's visit is in response to deficiencies observed during a complaint visit on 5/9/24. On 5/9/24, LPA observed a staff room with a bed; however, the facility sketch does not indicated that there is a staff room. Based on record review, it was learned that the room was initially designated as an office. The facility has converted the office into a staff room for the live-in staff without notifying the Department.
LPA informed the Administrator that if the facility chooses not to have a staff room, a plan of operation addendum shall be sent to Licensing indicating awake staff at all times.
Deficiencies were cited on the LIC 809-D pursuant to the California Code of Regulations, Title 22, and California Health and Safety Code.
An exit interview was conducted, a copy of this report, LIC 809-D and appeal rights were provided. |