It was alleged that the clients were buying their own hygiene items, as the Licensee/Administrator stopped purchasing the hygiene items. Per the client’s admissions agreement it states that the licensee is to provide hygiene items such as toothbrushes, razors, shampoo etc. Per an interview with Vazquez, the hygiene items provided were generic and if for example a client had dandruff and required a special shampoo outside of what was provided then the client would use their Persona and Incidental (P& I) to purchase the specialty item. There was not sufficient evidence to refute or corroborate what was alleged.

Regarding the cleaner’s interviews were conducted with staff and revealed that were arguments over the types/brands of chemicals that were purchased. Vazquez denied refilling the bottles with water and using fragrances to imply that the cleaners were able to clean and disinfect as expected during the pandemic. On 12/28/23 LPA conducted a facility visit and observed for the cleaners to consist of bleach, a degreaser, cleanser and an all-purpose cleaner. The cleaners observed were EPA approved cleaners, that are noted to clean as well as disinfect. There was not enough evidence to refute or corroborate the allegation.

It was also alleged that the Administrator was not at the facility a sufficient number of hours. Per an interview with Vazquez he states that he was at the facility for a minimum of 2-3 hours daily 6 days a week, and that in his absence there were two (2) designated staff leads that were required to report the status of the facility at the end of the shift. Vazquez stated that outside of the hours he would accompany clients to

Per staff interviews Vazquez was present at the facility however the exact times could not be recollected. LPA conducted a review of staff schedules which revealed that Vazquez would be at the facility daily. Further LPA reviewed Client Daily Reports where the staff have to provide their initials to verify that they are the ones inputting the data and or observations made. LPA observed for the licensee's initials to be present on logs reviewed for April, May, June 2020. LPA also conducted a records review of staff schedule and observed for Vazquez to be also be scheduled There was not sufficient evidence to refute or corroborate the allegation.

Regarding the fire drills it was alleged that fire drills were not being conducted, and that the Administrator fills out the forms/logs himself. Per an interview with the Administrator this too did occur as Mr. Vazquez stated that he would conduct the drills without the staff participating but staff would see him conducting the drills with the clients, and he would fill out the form/logs. Per the various logs reviewed there are no staff names noted, it states staff and residents on site.

Based on the self-admission of the drills not being conducted as required with staff participation a deficiency is being issued a issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 6).

An exit interview was conducted and a copy of this report, 809D, appeal rights and LIC9098-proof of corrections form was reviewed and provided to Manuel Vazquez.