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25 | Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Case Management to conduct a Non-Compliance Plan Quarterly Visit. LPA met with Administrator Tammy Lu and stated the purpose of today's visit.
The purpose of the visit is to ensure the facility is adhering to the Compliance Plan submitted to Community Care Licensing (CCL) after an informal meeting held on 06/21/2022. LPA Rai observed 2 staff members and 3 residents at the facilty since 3 residents were attending adult day program.
During visit, LPA toured the inside of the facility and observed the bedrooms, bathroom, living room and kitchen. All fire exit routes were free and clear of obstruction.
LPA reviewed 6 resident files, staff training files and facility file. LPA observed 6 out of 6 resident files had updated Appraisals/ Needs and Services Plan. LPA observed staff training completed for staff adhering to resident's behavioral and intervention plan, ensuring resident's personal rights are not violated, emergency intervention/ prohibited use of manual restrains on residents in care and reporting incident reports in a timely manner to the Department.
LPA Rai reviewed facility's intake process, facility's training plan on topics such as adhering to behavioral plan & resident's rights, and facility's process for complying with reporting incidents to the Department in a timely manner.
No deficiencies cited per California Code of Regulations, Title 22. This report was reviewed with Administrator Tammy Lu and a copy of the report was provided. |