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25 | Licensing Program Analyst Bertozzi arrived unannounced to conduct a Legal Non-Compliance Case Management inspection and met with Administrator, Cinthya Gamino.
As a requirement of the Stipulation and Waiver; and Order dated July 18, 2022, the facility has submitted monthly reports to LPA that include an LIC500 that shows staffing, resident roster that includes how many residents are 2 person assists, and a Monthly Quality Assurance Audit that includes but is not limited to staffing, physical plant, dementia care, medication records and infection control. Administrator provided LPA with the Quarterly Audit that was conducted September 2022.
Facility provides monthly training to existing staff in order to comply with the Stipulation and Waiver, and Order and contracts with a vendor to ensure the staff training requirement is met. Administrator provided LPA with proof of training for Managers, Caregivers and Medication Technicians. LPA and Administrator discussed how the Administrator ensures all staff are trained per the requirement. Training was being conducted during this visit. LPA confirmed that new staff are trained within 30 days of hire.
LPA reviewed the most recent staff schedule to confirm that facility had sufficient staff for resident's needs. Per conversation with Administrator, they staff two caregivers for each unit on each shift to ensure sufficient staffing. Managers and Medication Technicians provide additional assistance for breaks and lunches, if needed.
Facility continues to submit Special Incident Reports within the regulatory time frame. LPA observed that facility is safe, sanitary and in good repair and that Covid protocols are being followed.
Continued on LIC809C |