California Home for the Adult Deaf (Chad)

Allegation investigated: Staff physically abused resident resulting in fracture.

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez met with Caregiver, Carl Denney and explained both the purpose of the visit and the details of the allegation. On October 30, 2025, the Community Care Licensing Division (CCLD) received a complaint alleging facility staff physically abused resident resulting in fracture. It was reported that on October 26, 2025, Resident 1 (R1) was transported to the hospital for back pain resulted by a physical assault caused by S1. Information obtained from an Interview with Administrator Danny Barrett denied any physical abuse and reported he was not at the facility on October 25 or 26, 2025. Interview with Staff 2 (S2) revealed that on October 25, 2025, S2 observed R1 lose their footing and assisted R1 before R1 fell to the floor. S2 noted they did not observe a change of condition or was advised of any issues or concerns by R1. Continued on LIC 9099-C. Unsubstantiated Interview with Staff 3 (S3) revealed that on October 26, 2025, they observed R1 acknowledging pain and subsequently contacted for medical assistance. Additional information could not be obtained by R1 due to their passing. S3 denied any observation of physical abuse. Attempts were made to interview Additional Witness 2 (AW2) for additional information regarding the allegation above. AW2 did not respond to interview requests and therefore no additional details were obtained. A review of medical records from Kaiser Permanente hospital, dated October 26, 2025, shows that at approximately 7:50 AM, R1 did not appear to be in any pain or distress. It was also stated that R1’s care plan was created and ordered the use of a brace for assistance. A review of Special Incident Reports submitted by the facility to the Community Care Licensing Division revealed that no records were available regarding R1’s fall or any related hospitalization. Based on interviews, record reviews, and observations the allegations facility staff physically abused resident resulting in fracture has been deemed UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted. A copy of this report was provided to Caregiver, Carl Denney.the state’s words, verbatim · CDSS document, Mar 24, 2026 · control 18-AS-20251030144849

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA), Armando Perez conducted a case management visit to the facility for the purpose of issuing deficiencies related to complaint investigation 18-AS-20251030144849. LPA Perez met with Caregiver Carl Denney, and explained the purpose of the visit and assisted LPA. During the investigation, information obtained revealed that Resident 1 (R1) had a hospital visit for a UTI on 10/19/25, experienced a fall on 10/25/25, and had a second hospital visit on 10/26/25 due to pain concerns. LPA conducted a review of Special Incident Reports submitted by facility staff and did not find any documentation referencing incidents listed above. Interview with Administrator, Danny Barrett, acknowledged the incidents with R1 occurred and could not provide Special Incident Reports submitted to Community Care Licensing Division upon request. As a result, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report, 809-D and Appeal Rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Mar 24, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 877211(a)(1) · Plan of correction due date: Apr 17, 2026

877211(a)(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence… This report shall include the resident's name, age, sex and date of admission; ... This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any… case. This requirement was not met as evidenced by:the state’s words, verbatim · CDSS document, Mar 24, 2026

Plan of correction: Administrator will provide in house training focusing on regulation 87211 with all staff and provide a written procedure that facility staff will begin to follow by POC date. Procedure must include submitting reports to LTCO and CCLD. Based on interviews and record reviews, it was determined that the facility failed to properly submit incidents under requirements on three separate occasions for R1 with two hospital visits and fall incident. This poses a potential health safety or personal rights risk to residents in care.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Armando Perez and made an unannounced visit to the facility for the purpose of conducting a required annual inspection. LPA was assisted by American Sign Language Interpreter Christine Bartley Williams. The LPA was granted entry by staff to conduct the inspection and met with Administrator, Danny Barrett. The LPA informed the Administrator of the purpose for the visit. The inspection included the following: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility consists of a kitchen and dinning area, a living room area, a garage and laundry room, and a patio and yard with sufficient seating and space for activities. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats present. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured within regulation. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. There are no firearms at this home and no bodies of water observed. LPA began review of client records. Four (4) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed 4 of 4 Admissions agreement to be missing. A deficiency will be issued. Continued on LIC 809-C. LPA began review of employee records- Four (4) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and administrator certification. LPA observed Administrator did not have a file on record. A deficiency will be issued. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for chemicals and sharps in the kitchen. Medications are centrally stored. There is a locked cabinet in the kitchen allocated for medication storage. Centrally stored medication and destruction logs are maintained. Medications reviewed appear to have been dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers were serviced on 09/13/2025. LPA observed Emergency drills records were not obtained. A deficiency will be cited. Based on the information received during this visit today in the areas reviewed, there are three deficiencies that are being cited per Title 22, Division 6 of The California Code of Regulations. This LIC 809, LIC 809-D and Appeal Rights was reviewed with the facility representative, and a copy was provided.the state’s words, verbatim · CDSS document, Jan 21, 2026

Type of visit: Case Management - Deficiencies

On 10/13/2025, Licensing Program Analyst (LPA) Armando Perez conducted an unannounced visit to the facility for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 18-AS-20251030144849. LPA met with Administrator Danny Barrett and explained the purpose of LPA's visit. During facility records review, LPA observed the facility had incomplete resident files. This is a repeat deficiency within a 12 month period. A civil penalty will be assessed. Based on record review and interviews, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809-D, LIC 421FC. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to Administrator Danny Barrett.the state’s words, verbatim · CDSS document, Oct 31, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Nov 14, 2025

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above in 3 out of 5 resident files requested which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 31, 2025

Plan of correction: Administrator agreed he will be printing and delivering the required documents to the Riverside RO in person. A list was provided of the documents requested.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Armando Perez made an unannounced visit to the facility to conduct a case management visit to verify corrections have been made to clear the deficiencies from the annual inspection commenced on January 28, 2025. LPA identified himself and was granted entry into the facility by staff. LPA met with Administrator Danny Barrett, and discussed the purpose of the visit. LPA began review of client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be available and complete. LPA began review of employee records. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification. LPA observed personnel records to be available and complete. Deficiencies will be cleared and annual inspection is complete. This LIC 809 report was reviewed with the facility representative, and a copy was provided.the state’s words, verbatim · CDSS document, Jul 11, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Armando Perez made an unannounced visit to the facility to conduct a case management-annual continuation visit to complete an annual inspection commenced on January 28, 2025. LPA identified himself and was granted entry into the facility by staff. LPA met with Administrator Danny Barrett, and discussed the purpose of the visit. LPA referred Administrator to Technical Assistance and Administrator met with Analyst Michael Reber on Thursday February 13, 2025 for assistance with record files. LPA's continuation visit consisted of a tour of the facility, and a review of both resident and staff records. LPA observed files to be incomplete. Administrator stated that he will need more time citing that he was working on getting his staff to sign documents and he just had the consultation meeting with Michael the week prior. LPA communicated with Administrator the LIC forms needed to complete the staff and resident files and will have them ready by February 28, 2025. Based on the information received during this visit today in the areas reviewed, there are no deficiencies that are being cited per Title 22, Division 6 of The California Code of Regulations. This LIC 809 report was reviewed with the facility representative, and a copy was provided.the state’s words, verbatim · CDSS document, Feb 18, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Armando Perez made an unannounced visit to the facility for the purpose of conducting a required annual inspection. For todays visit, LPA was assisted by ASL interpreter Kathy Goodson The LPA was granted entry by staff to conduct the inspection. The administrator Danny Barrett communicated with LPA by text message informing LPA that he is ill with Covid-19 and authorized caregiver Barbie Smith-Enos to assist with the visit. The LPA informed the staff of the purpose for the visit. The inspection included the following: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility consists of six (6) resident bedrooms, four (4) bathrooms, a kitchen and dinning area, a living room area, a garage and laundry room, and a patio and yard with sufficient seating and space for activities. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats present. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured within regulation. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. There are no firearms at this home and no bodies of water observed. LPA began review of client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be incomplete.A deficiency was issued. LPA could not review employee records- Seven (7) records were unavailable at the time of the visit. LPA will need to schedule an annual continuation and review for employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification. A deficiency was cited. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. Medications are centrally stored. There is a locked cabinet is allocated for medication storage in the kitchen. Centrally stored medication and destruction logs are maintained. Medications reviewed appear to have been dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers was last serviced on, 05/02/2024. Fire drills are conducted quarterly. Based on the information received during this visit today in the areas reviewed, there are deficiencies that are being cited per Title 22, Division 6 of The California Code of Regulations. A plan of correction was provided and a continuation annual visit will be needed to clear two deficiencies. This LIC 809 report was reviewed with the facility representative Barbie Smith and a copy was provided.the state’s words, verbatim · CDSS document, Jan 28, 2025

Allegation investigated: Staff member refused t give a resident their medication.

Licensing Program Analyst (LPA) Ruth Martinez visited the facility to further investigate into the above identified complaint allegation. LPA arrived at facility and was greeted at the door by Barbara Smith-enos, caregiver and granted entry and LPA explained the purpose of the visit. Findings are based upon this investigation which included a tour of the physical plant of the facility, records review, interviews with the following: 5 out of 5 residents, and staff. It is alleged staff member refused to give a resident their medication. LPA Martinez observed and reviewed medication that is locked in the kitchen cabinet and observed medication to be accurate for all five residents. Records collected by LPA Torres on visit conducted on March 10, 2022, revealed for resident Continued on LIC9099-C Unsubstantiated (R1) Tylenol is a PRN medication. MAR sheets for February, March 2022 reflect that R1’s PRN medication for Tylenol was given and listed under the PRN medication list. Interview with staff indicated that R1 is able to ask for medication when needed and it is given without a problem or has never had a problem giving the medication to R1. Interview with 5 of 5 residents indicated that they have never experienced an issue with medication, staff give them their medication and they are able to request it when needed and staff will assist them to obtain the medication. Indicated that they have never had an issue in the past or now with getting their medication or pain medication either. They always get it when they request it and have not had an issues to report. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with facility representative and a copy of this LIC9099 report was left at facility.the state’s words, verbatim · CDSS document, Nov 25, 2024 · control 18-AS-20220301090049

Allegation investigated: Unlawful Eviction Staff do not prevent resident from harming other resident(s) while in care Food services are inadequate Staff handle resident in a rough manner Staff force resident to take medication causing injury Staff threaten resident in care

Licensing Program Analyst (LPA) Ruth Martinez visited the facility to further investigate into the above identified complaint allegations. LPA arrived at facility and was greeted at the door by Barbara Smith-enos, caregiver and granted entry and LPA explained the purpose of the visit. Findings are based upon this investigation which included a tour of the physical plant of the facility, records review, interviews with the following: 5 out of 5 residents, and 3 of 3 staff. It is alleged a wrongful eviction was given. Based on record review for LIC624 unusual incident report received for resident (R1) for April 06, 2024, indicate the following: 4/3/24 client hurt caregiver with a hand jab(s) on the neck. 3 day eviction notice given, 4/4/24 client asked for scissors, refused to say why. Continued on LIC9099-C Unsubstantiated Said things that staff interprets as intent to harm house, staff, residents. 4/5/24 APS notified about self-neglect. CCA came to try help resolve. Client refused APS shelter resources list. 4/6/24, POA alerted Administrator about client’s possession of poison or intent to possess poison. Police notified client left facility and is missing. 4/6/24 client found at Riverside community hospital; police seen bringing clients medication administration record. 72 hours hold at hospital. Interview with Administrator indicated that a verbal and written 3 day eviction was given to resident on April 03, 2024. Resident went out to the hospital on April 6, 2024, after they walked out of the facility and police went to the facility on the that evening and retrieved residents’ medication and insurance, resident did not return to the facility. It is alleged that staff do not prevent resident from harming other resident’s while in care. Interview with 2 of 5 residents, revealed that they have never witnessed any resident hitting or harming another residents. It was indicated that there is a resident that gets angry at times but does not hit anyone or harm them. Interview with Administrator indicated that there is a resident at the facility that that has moment of hot headiness that can last 20-30 seconds, however they have never aggressively physically touched any of the other residents. There is always staff on site and residents are supervised at all times. There as never been any reports from other resident or staff that they had been physically harmed by any resident. It is alleged that food service is inadequate. LPA Martinez conducted a physical tour of the facility on today’s visit and observations revealed that facility has two refrigerators and a large pantry. It was observed that there were sufficient amount of quality and quantity of perishable and nonperishable food for residents. LPA observed the facility has a weekly menu posted in the kitchen and observed the food service to be well balanced with a variety of choices. LPA conducted interviews with staff and it was indicated that the facility does grocery days twice a week. Interview with residents revealed that they have never had an issue with food, snacks are always available and that they can request food out of the meals times and staff will get them food or prepare it for them. It is alleged that staff handle residents in a rough manner. Interview with resident revealed that they have never been touched or spoken to in a rough aggressive manner. Resident also indicated that they have never witnessed any of the staff speak or handle any resident in a rough manner. Interview with Administrator Continued on LIC9099-C revealed that the only incident that they have been aware of it a staff entered a resident room for medication management and to get residents (R1) attention they tapped R1 in the knee as to R1 told staff not to touch them. Saff indicated that they have never witnessed another staff member handle a resident roughly at any moment. It is alleged staff forced resident to take medication causing injury. Review of records obtained by LPA Sara Martinez on visit conducted on April 12, 2024, MAR sheet for April 2024 reflect that on various occasion R1 refused to take medication for diabetes management. Notes reflect that staff offered to R1 to take medication and all times it was refused. Interview with resident revealed that staff has never forced them to take medication or has caused an injury to them will doing medication management. Staff always helps and gives them their medication and they never had an issue. Interview with staff indicated that they don’t force resident to take medication and if they refuse that they try to get them to take medication but not force them to. Interview with Administrator revealed that staff are aware that resident’s have the right to refuse medication. When resident refuse medication staff will mark medication refusal on MAR. It is alleged that staff threaten resident in care. Interview with staff revealed that they do not threaten any resident with evicting them since they can’t do that and that they have never witnessed the Administrator to threaten anyone with that either. Interview with Administrator indicated that a verbal and written 3 day eviction was given to resident on April 03, 2024. Interview with resident indicated that they have never been asked to leave, threatened, or given an eviction notice. They indicated that they have not seen any staff do that to them or anyone in the facility. Based on record review for LIC624 unusual incident report received for resident (R1) for April 06, 2024, indicate the following: 4/3/24 client hurt caregiver with a hand jab(s) on the neck. 3 day eviction notice given, 4/4/24 client asked for scissors, refused to say why. Said things that staff interprets as intent to harm house, staff, residents. 4/5/24 APS notified about self-neglect. CCA came to try help resolve. Client refused APS shelter resources list. 4/6/24, POA alerted Administrator about client’s possession of poison or intent to possess poison. Police notified client left facility and is missing. 4/6/24 client found at Riverside community hospital; police seen bringing clients medication administration record. 72 hours hold at hospital. Continued on LIC9099-C Based on the information mentioned above, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with facility representative and a copy of this LIC9099 report was left at facility.the state’s words, verbatim · CDSS document, Nov 25, 2024 · control 18-AS-20240404133620

Allegation investigated: Facility staff are not properly trained Facility staff are restraining resident

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to conclude the investigation and deliver findings for the allegations listed above. LPA was granted entry and met with Licensee Danny Barret and explained the purpose of the visit. Regarding the allegation “Facility staff are not properly trained” it was alleged that Staff One (S1) was working at the facility without completing their training. LPA conducted interviews and record review regarding the allegation. Interviews with Administrator Barret on 09/10/2020 revealed that two of the staff members had not completed the 20 and 40 hours of training for the year per Health and Safety Code 1569.625 and 1569.69. Administrator Barret’s interview revealed S1 had not yet completed the required training for the year. Therefore, based on interviews and record review the allegation facility staff are not properly trained has been deemed SUBSTANTIATED at this time. Substantiated LPA toured the facility on 12/11/2023 and did not see any mattress pads on the floor in the residents’ room. LPA conducted interviews with staff and residents with an interpreter present that did not provide any corroborating evidence that support resident was left on the floor for an extended period of time with no explanation from staff. Therefore, based on interviews, record review, and observation, the allegation “Resident was left on the floor for an extended period of time” is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Facility staff are mismanaging resident's medication” LPA conducted record review of the Medication Administration Record (MAR) for three (3) residents and found no discrepancies with the MAR and mediation count. Record review of the MAR and LPA’s observation of the medication reveal staff were administrating resident’s medication per the physicians’ orders. Record review and interviews with staff and residents reveal medication was being managed by staff and the residents were receiving their prescribed medication daily. Therefore based on interviews, record review, and observation, the allegation “Facility staff are mismanaging resident's medication” is deemed UNSUBSTANTIATED at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was reviewed with and provided to Licensee Danny Barret. Regarding the allegation “Facility staff are restraining residents” it was alleged Resident One (R1) had been restrained on their bed with two pillows placed by R1’s side to prevent R1 from moving. Interviews with Administrator Barrett revealed the facility puts two pillows on R1’s right side to keep R1 from rolling out of bed onto the floor. Record review revealed R1 has a history of falls per R1’s physicians report. However, there was no written care plan from a medical professional in place for R1 to have postural supports. Therefore, based on interviews and record review the allegation facility staff are restraining residents has been deemed SUBSTANTIATED at this time. A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. An exit interview was conducted and a copy of this report, 9099C, 9099D, LIC 811, and appeal rights were provided to Licensee Danny Barret.the state’s words, verbatim · CDSS document, Apr 29, 2024 · control 18-AS-20200904122837

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(c) · Plan of correction due date: May 10, 2024

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 This requirement is not met as evidence by: based on interview and record review the licensee did not comply by having S1 assist residents with personal activities of daily living without fulfilling the annual required hours of training which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 29, 2024

Plan of correction: Licensee will ensure all staff are have completed the initial and annual training as specified in Health and Safety Code 1569.625 and 1569.69. Licensee will submit proof of staff training to LPA by the agreed Plan of Correction date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87608(a)(3) · Plan of correction due date: May 10, 2024

87608 Postural Supports (a) Based on the individual's... appraisal, the facility shall provide assistance and care… Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support.This requirement is not met as evidence by: Based on interviews and record review, the Licensee did not ensure R1 had a written order from Physician for pillows to be placed on the side of R1 while laying in bed to ensure R1 did not fall off. R1 is no longer a resident. This poses a poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 29, 2024

Plan of correction: Licensee agreed to send LPA a written and signed statement stating Licensee and staff read and understood regulation 87608 regarding Postural Supports. Licensee will submit statement to LPA by Plan of Correction date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janira Arreola and conducted a required annual visit. LPA was greeted and was granted entry and met with Staff, Joseph Valdez and spoke with Administrator Daniel Barrett over the phone who was informed of the purpose of the visit. LPA was accompanied by a Community Care Licensing approved American Sign Language interpreter to assist LPA's communications with facility staff and residents. At the time of visit there were (4) clients and (2) staff present. The facility is a one story home with (6) bedrooms and (4) bathrooms. The facility does not have a pool or fire arms. The facility is a residential care facility for the elderly serving elderly ages 60 and above. LPA observed the following: Infection Control: LPA observed hand hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has a infection control plan on file. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were present and in good repair. The facility's outdoor area was observed to be free of hazards. Laundry equipment was observed to be in good working condition. The carbon monoxide detector was tested and operational during the visit. LPA observed beeping noise and error code coming from the fire panel in the home. The administrator informed the LPA that this was recently installed in the facility. Technical note was issued for facility staff to have this inspected. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required food items. Record Review and Resident/Staff Files: LPA reviewed staff files and training. LPA found that (2) staff did not have a documented physical exam on file. deficiency was cited and plan of correction was documented with administrator. (1) staff was found to not have current annual 20 hour training, LPA documented technical note and documented date when the staff would conduct the training. Client files were reviewed and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in a kitchen cabinet. LPA reviewed client medications and found that MARS and medication was accounted for and had required labeling. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. Technical note was documented for staff to update to new LIC610D. Administrator was unable to provide documentation on most recent drill. deficiency was cited and plan of correction was created with administrator. The documentation did not meet the department standards and technical note was documented. An exit interview was conducted with staff, Joseph Valdez where this report and deficiency pages and appeal rights were reviewed and provided to them.the state’s words, verbatim · CDSS document, Jan 29, 2024

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.