Karo Mina Care Home

Type of visit: Required - 1 Year

On 1/12/2026 at 1:00 PM, Licensing Program Analysts (LPAs) A. Gomez and Y Brown arrived unannounced to continue the Required 1 Year Annual inspection. Upon arrival, LPA was greeted by Caregiver, Ulanda Mitchell and explained the purpose of the visit. Administrator arrived at 2:00PM. The facility’s fire clearance was approved for 6 Non-Ambulatory. LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 113.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were not locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 01/28/2025. Emergency Disaster Plan was last posted on 01/01/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on December 2025. At 1:40pm, LPA reviewed 2 residents records. At 2:30 pm, LPA reviewed 2 staff records. REPORT CONTINUES ON LIC 809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPAs observed a pair of scissors with a blue handle located in the kitchen on top of the microwave (Repeat Violation) LPAs observed Vicks formula 44DM cough syrup on R1's bedside table Facility not properly documenting the use of R1's PRN cough syrup R2's appraisal of needs and services is incomplete S2's File incomplete LPAs observed the administrator in poor health (leg injury that they state requires surgery) that could impair their ability to provide care Facility did not have planned activities. LPAs observed PUB475 is the incorrect size Based on observations LPAs are requesting that R2 get an updated physicians report after visiting the doctor. ***Civil Penalties assessed in the amount of $250 for repeat violations*** Updated copies of the following documents were requested for facility file and are to be mailed to CCL by 1/21/2026: LIC 500 Personnel Report Liability Insurance Current Administrator’s Certificate Emergency Distaster Plan LIC610E The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 12, 2026

The state marks this report as 11 pages; the online copy we transcribed has 9. You can request the full file from the county licensing office.

Allegation investigated: Resident sustained pressure injuries due to staff neglect Staff did not provide resident with a 60day notice of rent increase Staff are not meeting residents hygiene needs Staff are not meeting residents dietary needs Staff not following residents care plan Staff are not adequately trained

On 11/05/2025 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to deliver findings for the above allegations. LPA met with Caregiver, Ulanda Mitchell and explained the purpose of the visit. Administrator notified and arrived at 10:00AM During course of the investigation, LPA conducted interviews with facility staff, witnesses and residents. Documents including but not limited to: admission agreements, physician’s reports, care plans, photos of residents, care notes, and text messages were obtained and/or reviewed. Report continues on LIC 9099-C Substantiated Pg. 2 continued On the allegation "Staff not following residents care plan" the following was found: On 7/16/2025 LPAs A Gomez and T Syess-Gibson conducted the initial investigation visit. During the visit LPAs met with staff 1 (S1), Licensee, resident 3 (R3), and resident 4 (R4). LPAs reviewed available records for R1, R2, R3, and R4. LPAs observed in R3's records that they required assistance rotating every 2 hours. LPAs were at the facility continuously from 1:00PM- 4:15PM and observed that R3 was not rotated until LPAs requested that staff rotate them. On 8/20/2025 LPAs A Gomez and Y Brown returned to the facility to continue the investigation. LPAs observed that the Facility was crushing medications for R3 and R4 without a crush order on file. On 11/4/2025 LPA A Gomez interviewed R1, R2, and witness 1 (W1) . During the interviews with W1 it was disclosed that R1 sustained pressure injuries due to facility staff not encouraging and assisting R1 as discussed as part of their care plan. It was also disclosed that R1 was having flare-ups with their skin due to inconsistent use of their ointment. LPA cross verified this information with text messages from R1's Home Health Nurse. Therefore the allegation "Staff not following residents care plan" is Substantiated. On the allegation "Resident sustained pressure injuries due to staff neglect" the following was found: On 11/4/2025 LPA A Gomez interviewed W1 and reviewed photos, and text messages from R1's Home health Nurse. R1 was admitted to the facility on 2/1/2025. LPA observed that on 2/7/2025 R1 did not have any pressure injuries on their bottom. On 2/11/2025 LPA observed that a pressure injury had began to form on R1's bottom but was not yet open. According to the Home Health Nurse the pressure injury was developing because of sitting for prolonged periods of time. Nurse advised for R1 to stand and walk every hour to prevent the wound from developing further. Between 2/12/2025 and 2/19/2025 it was documented that the pressure injury on the bottom had opened and developed further. Wound healed by 5/20/2025. Therefore the allegation "Resident sustained pressure injuries due to staff neglect" is Substantiated. Report continues on LIC9099-C Pg. 3 Continued On the allegation "Staff did not provide resident with a 60day notice of rent increase" the following was found: On 10/22/2025 LPAs A Gomez and A Gharachorloo conducted a visit to continue the investigation. During the Visit LPA's interviewed the Licensee/Administrator. During the interview when asked if they gave a 60 day notice of rent increase Administrator stated that, "they did increase the rent for R1 two (2) times because they needed a higher level of care; each time the rent was raised they state that they gave a 30 day verbal notice and that they were not aware that they needed to give a 60 day notice." On 11/4/2025 LPA observed text messages from Administrator stating that the rent would be increased the upcoming month due to R1's incontinence care, cost of living, and expenses and that if they did not agree they could submit a 30 day notice and leave the facility. R1 was admitted to the facility on incontinence care and there was not a change in condition. Therefore the allegation "Staff did not provide resident with a 60day notice of rent increase" is Substantiated. On the allegation "Staff are not meeting residents hygiene needs" the following was found: On 11/4/2025 LPA A Gomez conducted separate interviews with R1, and R2. Both R1 and R2 disclosed to LPA that the facility would monitor them while they were in the restroom and that they had to ask for toilet paper. R1 and R2 states that toilet paper was not readily available in the bathroom and that they would have to throw their used toilet paper away in the trash can. On 11/4/2025 LPA also observed messages from the Home Health Nurse stating that in April of 2025 they had found R1 with feces on their private parts and that they had to inform staff to clean R1. Therefore the allegation "Staff are not meeting residents hygiene needs" is Substantiated. Report Continues on LIC9099-C Pg. 4 On the allegation "Staff are not meeting residents dietary needs" the following was found: On 7/16/2025 LPAs observed during the initial complaint visit that R4 was thirsty and had not had any food or water since they had arrived at 1:00PM. LPAs had to request for staff to give R4 something to drink. On 8/20/2025 during a return visit LPAs observed that the food being prepared for residents lunch was expired. LPAs also observed expired canned goods, and food items in the refrigerator. On 10/22/2025 during a return visit LPA's inspected the refrigerator and observed additional expired foods in the refrigerator. On 11/4/2025 LPA interviewed W1. W1 provided text messages and photos of R1 being swollen because their no salt diet was nit being followed. W1 also disclosed that they witnessed staff attempting to prepare tater tots for R1 which goes against their dietary needs. Therefore the allegation "Staff are not meeting residents dietary needs" is Substantiated. On the allegation "Staff are not adequately trained" the following was found. On 7/10/2025 LPAs requested training records for all staff on the LIC 500. LPAs observed that all staff with the exception of the Administrator were not up to date on their training. Interviews with S1 concluded that they did not have the required knowledge to effectively conduct their role as a caregiver. Therefore the allegation "Staff are not adequately trained" is Substantiated. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided. Pg. 2 On the allegation "Staff engaged in a verbal altercation in the presence of residents" the following was found: On 11/4/2025 LPA interviewed R2 who states that they would sometimes hear the Licensee raise their voice at caregivers. R1 was also interviewed but could not recall any altercations at the facility. During all visits LPAs observed that the Administrator can become elevated during discussions however it is attributed to their cultural expression rather than aggression. Therefore the allegation "Staff engaged in a verbal altercation in the presence of residents" is Unsubstantiated. On the allegation "Staff inappropriately using dirty washcloths" the following was found: LPAs did not observe any dirty washcloths during visits and no residents reported a concern of dirty washcloths being used on them. Therefore the allegation "Staff engaged in a verbal altercation in the presence of residents" is Unsubstantiated. On the allegation "Staff did not ensure resident received a copy of admissions agreement" the following was found: Based on interview with Licensee and W1 LPA was unable to conclude if the resident ever received a copy of the admissions agreement. Licensee states that they gave a physical copy of the agreement. Therefore the allegation "Staff did not ensure resident received a copy of admissions agreement" is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of report provided.the state’s words, verbatim · CDSS document, Nov 5, 2025 · control 15-AS-20250707144910

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(8) · Plan of correction due date: Nov 19, 2025

(a)In addition to the rights listed in Section 87468. … the elderly shall have all of the following personal rights: (8)To be free from neglect… or sexual abuse. The following requirement was not met as evidence by: Based on interviews with W1 and review of text messages R1 sustained pressure injuries due to staff neglecting to ensure proper movement which poses an immediate health and personal rights violation to resident in care.the state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: By POC Licensee agrees to review the regulation, develop a poster on how to prevent pressure injuries, have poster posted for staff, provide a copy of poster to CCLD via certified mail and notify CCLD.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(a) · Plan of correction due date: Nov 19, 2025

(a)The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. The following requirement was not met as evidence by: Based on interviews with W1, photos, text messages with home health, and observations made at the facility by LPAs the facility is not providing quality food due to having expired foods in use for residents such as potatoes, pre-cooked meals, and produce as well as not following R1’s no salt diet which led to them swelling which poses an immediate health and personal rights violation to resident in care.the state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: By POC Licensee agrees to review the regulation, develop a poster on how to inspect for expired food, when to discard, food life, and identifying and how to adhere to special diets, have poster posted for staff, provide a copy of poster to CCLD via certified mail and notify CCLD.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.655(a) · Plan of correction due date: Nov 19, 2025

(a) If a licensee .. increases the rates… the licensee shall provide no less than 90 days’ prior written notice… including a description of the additional costs, except for an increase in the rate due to a change in the level of care of the resident. The following requirement was not met as evidence by: Based on interviews with Licensee, W1, and review of text messages the Licensee raised the rent without proper notice twice which poses a potential personal rights violation to resident in care.the state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: By POC Licensee agrees to review the regulation, register and complete a training related to rate increases/admission agreements by an approved CCLD vendor that they have not used before, and notify CCLD.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a)(3)(D) · Plan of correction due date: Nov 19, 2025

(a)Living accommodations …shall apply: (3)Equipment and supplies necessary for personal care …the licensee shall assure provision of: (D)Hygiene items of general use such as soap and toilet paper. The following requirement was not met as evidence by: Based on interviews with R1, R2, and W1 the facility was not providing basic hygiene needs by not readily providing toilet paper which poses a potential personal rights violation to resident in care.the state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: By POC Licensee agrees to review the regulation, register and complete a training related to personal accommodations and services by an approved CCLD vendor that they have not used before, provide all required hygiene supplies with extra supply available for resident use in the bathroom, and notify CCLD.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87464(f)(4) · Plan of correction due date: Nov 19, 2025

(f)Basic services shall at a minimum include:(4)Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. The following requirement was not met as evidence by: Based on interviews with W1, record review, observations made during visits the facility was not following the careplans’ for R3 by not assisting them with repositioning every 2 hours, and not following R1’s careplan which poses a potential personal rights violation to resident in care.the state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: By POC Licensee agrees to review the regulation, register and complete a training related to basic services by an approved CCLD vendor that they have not used before, update all needs and services plans for existing residents, provide copies of the plans to CCLD via certified mail, and notify CCLD.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Nov 19, 2025

(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs…facility require such additional staff for the provision of adequate services. The following requirement was not met as evidence by: Based on interviews with S1, and record review staff were not up to date on their training or competent to provide the required care and assistance which poses a potential personal rights violation to resident in care.the state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: By POC Licensee agrees to provide copies of all current trainings to CCLD via certified mail, and notify CCLD.

Type of visit: Case Management - Other

On 11/05/2025 at 12:30 PM, Licensing Program Analyst (LPA) A. Gomez conducted a case management visit while at the facility for complaint 15-AS-20250707144910. LPA met Licensee/Administrator Mona Eweda. While conducting the investigation for complaint 15-AS-20250707144910 LPA found via text messages and interview with witness 1 (W1), and Licensee that R1 was accepted into the facility with indwelling catheter. However interviews and text messages uncovered that staff did not have the proper knowledge or required instruction to accept and retain R1. LPA observed Licensee requesting assistance from R1's responsible party on how to provide care for the catheter because they had never done it before. LPA also requested to review the required training needed for any staff assisting with a catheter and the Licensee was unable to provide it. During the visit on 11/5/2025 LPA observed the facility temperature at 66 degrees Fahrenheit upon arrival which is bellow the minimum required temperature of 68 degree F, (20 degrees C). The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 5, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87623(a) · Plan of correction due date: Nov 19, 2025

(a) The licensee shall be permitted to accept or retain a resident who requires the use of an indwelling catheter under the following circumstances: This requirement is not met as evidence by: Based on record review, interview with W1 and Licensee, and text messages Licensee did not have the proper requirements met to retain a resident with a catheter which posed a potential health risk to resident in carethe state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: By POC Licensee agrees to review regulation and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR87303(b)(1) · Plan of correction due date: Nov 19, 2025

(b) A comfortable temperature for residents shall be maintained at all times.(1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C). This requirement is not met as evidence by: Based on observation facility temperature was 66 degrees F which posed a potential health risk to resident in carethe state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: By POC facility agrees to set the thermostat to not allow the temperature to go below 68 degrees F and notify CCLD

Type of visit: Case Management - Other

On 7/16/25 at 2:40 PM, Licensing Program Analysts (LPAs) A. Gomez and T Syess-Gibson conducted a case management as a result of observations made during complaint visit 15-AS-20250707144910. LPA met with Administrator, Mona Eweda and explained the purpose of the visit. While at the facility LPAs observed the following: THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPAs observed an individual working at the facility who was not fingerprint cleared LPAs observed that there were unlocked knives in the kitchen LPAs observed that the facility files are incomplete LPAs observed that the bathroom does not have non-skid mat ***A civil penalty in the amount of $500 was assessed on todays date*** The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 16, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Jul 16, 2025

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Based on record review and observation, the licensee did not comply with the section cited above by having S1 at the facility without fingerprint clearance which posed an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 16, 2025

Plan of correction: Individual left the facility POC clear

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a) · Plan of correction due date: Jul 16, 2025

(a) Except as specified in subsection (b), the licensee shall ensure that ...knives...are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having unlocked knives which posed an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 16, 2025

Plan of correction: Knives locked durring visit POC clear

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(e)(5) · Plan of correction due date: Aug 1, 2025

(e) Water supplies...as follows:(5) Non-skid mats or strips shall be used in all bathtubs and showers. This requirement was not met as evidence by: Based on observation, the licensee did not comply with the section cited above by not having non-skid mats in the showers which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 16, 2025

Plan of correction: By POC Administrator agrees to buy and install the mats and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR87406(b) · Plan of correction due date: Aug 1, 2025

(b) Each resident’s record shall contain at least the following information: This requirement was not met as evidence by: Based on observation and record review the licensee did not comply with the section cited above by all residents files are incomplete which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 16, 2025

Plan of correction: By POC Administrator agrees to update all records according to regulation and notify CCLD

Type of visit: Annual/Random

On 2/05/2025 at 10:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to continue the Required 1 Year Annual inspection. Upon arrival, LPA was greeted by Licensee/Administrator, Mona Eweda and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory. LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 105.0 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 01/28/2025. Emergency Disaster Plan was last posted on 01/01/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 1/1/2025. At 11:00am, LPA reviewed 4 residents records. At 10:00 am, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. REPORT CONTINUES ON LIC 809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: All staff are not up to date on training. Administrator does not hold a valid certificate and is not pending. R3 missing updated physicians statement as a dementia resident. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 3/05/2025: LIC 500 Personnel Report Updated Emergency Disaster Plan Current Administrator’s Certificate The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 5, 2025

Type of visit: Required - 1 Year

On 01/29/2025 at 1:50 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct Required 1 Year Annual inspection. Upon arrival, LPA was greeted by Licensee/Administrator, Mona Eweda and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory. Due to the behaviors of the Licensee and safety the LPA was not able to conduct the Annual Inspection. LPA will return at a later date to complete the annual inspection and issue deficiencies. The Following Deficiencies were observed: Facility front door has a bolt lock with a combination on the inside Licensee intentionally made false claims to LPA regarding individual at facility. Due to Licensees hostile nature LPA will provide a copy of this report via certified mailthe state’s words, verbatim · CDSS document, Jan 29, 2025

Type of visit: Required - 1 Year

On 01/05/2024 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct Required 1 Year Annual inspection. Upon arrival, LPA was greeted by Caregiver Pauline Fearon Mitchell. Licensee arrived at 10:00 AM. LPA met with Licensee, Mona Eweda and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory. LPA toured facility with Mona including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which 3 bedrooms are occupied by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 69 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7 day supply of nonperishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/20/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/10/2023. Report continues on LIC809-C At 12:00PM LPA reviewed 3 of 3 residents records. At 12:20 PM, LPA reviewed 3 staff records. ALl staff are associated to the facility. The following Deficiencies were observed: At 9:00AM When LPA arrived only one staff was on duty and staff does not posses the required training required by CCLD. At 12:30PM During file review LPA observed that there was no file for Pauline Fearon Mitchell and that all files were incomplete and missing documents for other staff (criminal record statement, LIC 501) At 1:30PM During file review LPA observed that no staff has valid first aid or CPR. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 01/19/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health and Safety Code. Failure to correct deficiencies by POC date may result in Civil Penalties. Exit interview conducted and a copy of this report provided. Appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 5, 2024