Prime Villa Cloud

Allegation investigated: Staff threatened to overmedicate resident in care Staff did not prevent resident from leaving the facility unassisted Staff refused to clean resident in care Staff sleep at the facility while on shift

On 4/23/2026, at approximately 9:30 AM, LPA Alfonso Iniguez conducted an unannounced initial complaint visit. LPA Iniguez met with John Paul Atencio/Administrator. LPA Iniguez explained the purpose of this visit. Investigation Consisted of: the department conducted the following interviews: Administrator interview, (A#1), Residents Interviews (R#1-R#6), Witnesses interviews (W#1-W#4) and Staff interview (S#1-S#2). The department gathered the following documents: copy of personnel schedule dated 4/14/26, copy of resident roster dated:4/14/26, and copies of (R#1)’s admissions agreement dated:4/1/2026, copy of (R#1)’s Medical Assessment for Residential Care Facilities for the Elderly (RCFE) dated:3/30/26, copies of facility staff in-service trainings for the year of 2026, copy of (R#1)’s appraisal dated:3/24/26 and copy of facility staff schedule dated April 2026. Evaluation Report continues LIC 9099-C Unsubstantiated Investigation Revealed the Following: Allegation: Staff threatened to overmedicate resident in care The details of the complaint alleged that facility staff threatened to overmedicate (R#1) while in care. On April 23, 2026, at approximately 10:00 a.m., during the records review, the Department observed copies of the facility staff Inservice training documents for the year 2026. The Department noted that facility staff had completed a series of training courses, including training on residents’ rights and how to treat residents with dignity and respect. On April 23, 2026, during an interview with the facility administrator (A#1), the Department asked (A#1) to explain the facility’s expectations for staff communication regarding medications and how the facility addresses any statements that could be interpreted as threatening or inappropriate. (A#1) stated that facility staff assist residents only with their regularly prescribed medications. Staff inform residents when it is time for medication, and if a resident refuses, staff document the refusal and do not force the resident to take the medication. (A#1) further stated that for medications such as morphine, facility staff are not permitted to administer them; those medications are administered solely by the hospice agency. In addition, the Department also asked (A#1) to describe the safeguards in place to prevent misuse of medications and ensure staff do not make statements implying misuse. (A#1) stated that medications are stored in a locked cabinet for safety, and staff follow physician orders and the “five rights” of medication administration. (A#1) stated that he has never heard any facility staff make statements threatening to overmedicate a resident in care. On April 23, 2026, during interviews with witnesses (W#1) through (W#4), (4) out of (4) stated that they had not overheard staff discussing medications in a manner that seemed unusual or concerning. In addition, when asked whether they had conversations with staff about how medications are handled or administered to residents, (4) out of (4) stated that the staff take care of the residents’ medication needs and follow the prescribed orders. Evaluation Report continues LIC 9099-C On April 22, 2026, at approximately 10:00 a.m., the Department was unable to interview (R#1), as the resident passed away on April 14, 2026. On April 23, 2026, during interviews with residents in care (R#2) through (R#3), (2) out of (2) residents stated that they had not heard staff talking about medications in a way that made them feel uncomfortable or worried. When asked how staff usually communicate with them or others about medications or medical care, (2) out of (2) residents stated that staff are very professional and responsible. On April 22, 2026, at approximately 10:00 a.m., the Department was unable to interview residents (R#4) through (R#6) due to their cognitive health conditions. On April 23, 2026, during interviews with facility staff (S#1) through (S#2), (2) out of (2) staff stated that when residents or family members ask about medications, staff explain the medications the resident is taking; however, most residents already know what medications they are prescribed. When asked whether they had ever heard any staff member make statements about combining medications or using medications in a way that could be interpreted as threatening, joking, or inappropriate, (2) out of (2) staff stated they had not. Allegation: Staff did not prevent resident from leaving the facility unassisted The details of the complaint alleged that facility staff did not prevent (R#1) from leaving the facility. On April 23, 2026, at approximately 10:00 a.m., during the records review, the Department observed a copy of (R#1)’s Medical Assessment for Residential Care Facilities for the Elderly (RCFE), dated March 30, 2026. The Department noted that the assessment indicated (R#1) was non‑ambulatory and bedridden due to their physical and mental condition. On April 23, 2026, during an interview with the facility administrator (A#1), the Department asked (A#1) to describe the procedures in place to prevent residents, including (R#1), particularly those with cognitive impairment or requiring end-of-life care, from exiting the building without staff awareness. (A#1) stated that facility staff are always aware of residents’ whereabouts, and the facility has cameras in the common areas. (A#1) further stated that the main door is secured to prevent residents from exiting the facility unassisted. When asked whether (R#1) or any other resident in care had ever left the facility unassisted, (A#1) stated they had not. On April 23, 2026, during interviews with witnesses (W#1) through (W#4), (4) out of (4) stated that they had never seen or become aware of any resident being outside the facility without staff nearby during their visits. When asked how the facility monitors residents’ movements or manages access to exit doors, (4) out of (4) stated that the facility does a great job monitoring the residents. On April 22, 2026, at approximately 10:00 a.m., the Department was unable to interview (R#1), as the resident passed away on April 14, 2026. On April 23, 2026, during interviews with residents in care (R#2) through (R#3), (2) out of (2) residents stated that they had not seen any residents outside the building without staff present, noting that staff are always aware of everyone in the facility. When asked whether doors and exits are watched or checked by staff during the day and night, (2) out of (2) residents stated that, to their knowledge, they are. On April 22, 2026, at approximately 10:00 a.m., the Department was unable to interview residents (R#4) through (R#6) due to their cognitive health conditions. On April 23, 2026, during interviews with facility staff (S#1) through (S#2), (2) out of (2) staff stated that they monitor residents by regularly checking on them and ensuring that exit doors remain secured. Staff reported that the residents in care are not ambulatory in a physical sense, which further reduces the likelihood of residents attempting to leave the facility unassisted. When asked whether they had ever observed a resident outside the building without staff present or noticed any issues with exit doors not being secured, (2) out of (2) staff stated they had not. Allegation: Staff refused to clean resident in care The details of the complaint alleged that facility staff refused to maintain (R#1) clean. On April 23, 2026, at approximately 10:00 a.m., during the records review, the Department observed a copy of (R#1)’s appraisal dated March 24, 2026. The appraisal documented that (R#1) required assistance with multiple personal-care tasks, including help with bathing, help with dressing, hair care, and personal hygiene, and help in transferring in and out of bed. The appraisal further indicated that (R#1) required toileting assistance, continence care, and assistance in incidental health and medical care, reflecting a high level of dependency for daily cleaning and hygiene needs. On April 23, 2026, during an interview with the facility administrator (A#1), the Department asked (A#1) to describe the facility’s expectations for staff response when a resident, including (R#1), is found soiled or in distress, and how the facility ensures timely hygiene assistance is provided. (A#1) stated that facility staff conduct checks on residents every four hours and as needed to prevent residents from becoming soiled. In addition, when asked whether (R#1) or any other resident in care had ever been left in a soiled condition for an extended period, (A#1) stated, “I don’t think so.” On April 23, 2026, during interviews with witnesses (W#1) through (W#4), (4) out of (4) stated that they had never observed any resident who appeared to need hygiene assistance, such as being soiled or requiring cleaning, during their visits. When asked how staff responded to residents’ hygiene needs, (4) out of (4) witnesses stated they had never seen a situation requiring staff intervention. When asked whether they had heard staff make comments about a resident’s condition. On April 22, 2026, at approximately 10:00 a.m., the Department was unable to interview (R#1), as the resident passed away on April 14, 2026. On April 23, 2026, during interviews with residents in care (R#2) through (R#3), (2) out of (2) residents stated that when they or other residents need help with cleaning, bathing, or changing, staff respond very quickly. When asked whether they had ever seen a resident who needed cleaning or hygiene care but did not receive assistance right away, (2) out of (2) residents stated they had not. On April 22, 2026, at approximately 10:00 a.m., the Department was unable to interview residents (R#4) through (R#6) due to their cognitive health conditions. On April 23, 2026, during interviews with facility staff (S#1) through (S#2), (2) out of (2) staff stated that when a resident is found soiled or in need of hygiene assistance, staff are expected to change the resident as soon as they observe the need. Staff reported that they check on residents every couple of hours, and some residents can verbally inform staff when they need to be changed. In addition, when asked whether they had ever observed or been aware of a situation in which a resident needed cleaning and staff did not provide care right away, or in which staff made comments about a resident’s condition, (2) out of (2) staff stated they had not. Allegation: Staff sleep at the facility while on shift The details of the complaint alleged that facility staff are sleeping while on shift. On April 23, 2026, at approximately 10:00 a.m., during the records review, the Department observed a copy of the facility’s staff schedule for April 2026. The Department noted that the schedule reflected 24-hour staffing coverage, with one staff member assigned to the 7:00 a.m. to 7:00 p.m. shift, one staff assigned to the 8:00 a.m. to 5:30 p.m. shift, and one staff assigned to the 7:00 p.m. to 7:00 a.m. overnight shift each day. The schedule showed consistent staffing patterns throughout the month, with no gaps in overnight coverage. On April 23, 2026, during an interview with the facility administrator (A#1), the Department asked (A#1) to describe the systems the facility has in place to ensure staff remain awake, alert, and available to residents—including (R#1)—throughout their shift. (A#1) stated that the facility has 24-hour awake staff, and that staff are “always awake and checking on residents.” In addition, when asked whether (A#1) had ever observed or heard of facility staff sleeping during their work hours, (A#1) stated, “Not at all.” On April 23, 2026, during interviews with witnesses (W#1) through (W#4), (4) out of (4) stated that they had never noticed staff who appeared inattentive, unavailable, or possibly asleep while on duty during their visits. In addition, when asked about their overall experience with staff availability and responsiveness, (4) out of (4) witnesses stated that staff have been welcoming and responsive, and that their family members have been well cared for, including being kept clean. On April 22, 2026, at approximately 10:00 a.m., the Department was unable to interview (R#1), as the resident passed away on April 14, 2026. On April 23, 2026, during interviews with residents in care (R#2) through (R#3), (2) out of (2) residents stated that they had never noticed staff who appeared asleep, tired, or not paying attention during their shift. When asked whether staff respond quickly when assistance is needed at night or in the early morning, (2) out of (2) residents stated that staff do respond quickly. On April 22, 2026, at approximately 10:00 a.m., the Department was unable to interview residents (R#4) through (R#6) due to their cognitive health conditions. On April 23, 2026, during interviews with facility staff (S#1) through (S#2), (2) out of (2) staff stated that they are expected to remain awake and alert throughout their shifts, noting that “there is always something going on” that requires staff attention. Staff reported that they are required to always remain available to residents. In addition, when asked whether they had ever observed staff who appeared to be asleep, inattentive, or unavailable during their shift, (2) out of (2) staff stated they had not. Evaluation Report continues LIC 9099-C During this investigation, LPA did not find sufficient evidence to support the above-mentioned allegation(s). Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, and a copy of the Complaint Report was given to John Paul Atencio/Administrator.the state’s words, verbatim · CDSS document, Apr 23, 2026 · control 11-AS-20260414131707

Allegation investigated: Staff did not have documentation of resident's medical history to responding emergency medical personnel. Staff did not timely address a resident's change in medical condition.

On December 11, 2025, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent unannounced complaint visit. Ruby Vidad, Caregiver greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegations mentioned above. The investigation included a collection of records and a tour of the facility. The Department reviewed several documents, including the Personnel Report LIC 500 (dated 09/17/25), Register of Facility Residents LIC 9020 (dated 05/07/25), and (R1's) Medical Assessment for Residential Care Facilities LIC 602A (dated 07/14/25), Apprisal/Needs and service Plan LIC 625 (dated 09/18/25 & 08/05/23), Medication Adminstration Record (dated 10/01/25), Physician Orders for Life Sustaining Treatment (dated ), Vital Log (dated 10/1/25 -11/28/25) and Oak tree Home Health Records. Interviews conducted with Staff #1-#3 (S1-S3), Residents #2-#3 (R2-R3), and Witness #1-#4 (W1-W4). (Evaluation Report continues LIC 9099-C) Unsubstantiated INVESTIGATION REVEALED THE FOLLOWING: Allegation #1: Staff did not have documentation of resident's medical history to responding emergency medical personnel. The complaint alleges that the staff did not have documentation of Resident #1's (R1) medical history for the responding emergency medical personnel. Reports indicate attempts were made to obtain paperwork and communicate with the care facility staff regarding the (R1's) condition. However, the staff had no paperwork and did not provide any information about (R1's) health condition or mental status. No additional information was provided. According to the Identification and Emergency Information (LIC 601) dated May 1, 2023, and the Admission Agreement and Contract dated April 24, 2025, (R1) was admitted to Prim Villa Cloud on May 1, 2025. (R1) began receiving home health services from Oak Tree Home Health, Inc. on September 28, 2025. On November 28, 2025, (R1) was hospitalized at Long Beach Memorial Hospital due to general weakness and labored breathing. On December 5, 2025, between 10:00 AM and 11:10 AM, the Department interviewed staff members identified as Staff #1 through Staff #3 (S1-S3). Three (3) out of the three (3) could not support this claim. (S1 and S2), who were present when emergency medical personnel were dispatched on November 28, 2025, stated that (R1’s) medical documentation was available for the emergency medical services (EMS). (S1) indicated that (EMS) was provided with (R1’s) service binder, which contained the Medical Assessment for Residential Care Facilities (LIC 602A), the Appraisal/Needs and Services Plan (LIC 625), and the Physician Orders for Life-Sustaining Treatment. However, (EMS) only requested copies of the Identification and Emergency Information form (LIC 601) dated May 1, 2025, and the Medication Record dated October 1, 2025. (S1 and S2) verbally shared (R1's) primary medical diagnoses with (EMS). Upon being informed of (R1’s) condition, (S3) promptly reached out to (R1’s) home health provider and family representative without delay. (S3) emphasized the urgency of the situation by instructing the facility to contact 911 for immediate emergency assistance. On December 05, 2025, between 10:50 AM and 11:30 AM, the Department interviewed resident members identified as Resident #2 and Resident #3 (R2 and R3). (Evaluation Report continues LIC 9099-C) Two (2) out of the two (2) resident members were unable to validate this claim. (R2-R3) reported being hospitalized, and hospital or emergency medical services received the necessary documentation to treat them properly. Residents #4 (R4) and #5 (R5) were unable to participate in an interview at this time due to their health conditions. On December 05, 2025, between 12:30 PM and 01:38 PM, the Department interviewed witness members identified as Witness #1 and Witness #2 (W1-W2). Two (2) out of the two (2) witnesses were unable to confirm this claim. (W1-W2) stated that the facility staff took the necessary steps to ensure immediate emergency assistance for (R1). They also confirmed that the facility has all the required medical documentation EMS needs to obtain during an urgent call. Resident #1 (R1) was unable to participate in the interview because (R1) passed away before the investigation. The Department reviewed (R1-R5) service files which included Admissions Agreement, Medical Assessment, Consent Forms, Weight Record, Identification and Emergency Information, Appraisal & Needs Service Plan, Immunization Record, TB Test, Centrally Stored Medication, Safeguards for Property Valuables, and Personal Rights and Physician Orders for Life-Sustaining Treatment (POLST) all to be completed and in order. Further review of (R1’s) Medical Assessment for Residential Care Facilities (LIC 602A dated: July 14, 2025), the Appraisal/Needs and Services Plan (LIC 625 dated September 18, 2025), Medication Administration Record (dated October 1, 2025), Incident Report (LIC 624 dated December 5, 2025), and the Physician Orders for Life-Sustaining Treatment (dated December 28, 2020). Based on the information gathered, there is insufficient evidence to support the allegation mentioned above. Allegation #2: Staff did not timely address a resident's change in medical condition. It is alleged that staff did not respond promptly to Resident #1's (R1) change in medical condition. Reports indicate that a medical assessment of (R1) revealed several abnormal vital signs requiring immediate intervention. This intervention included establishing IV access, administering fluids, providing high-flow oxygen, and delivering a dose of adrenaline. Staff reported that (R1) was last seen behaving normally and without alterations on November 25, 2025. Further reports noted that there was no evidence of physical abuse or trauma on the resident. No additional information regarding this matter was provided. (Evaluation Report continues LIC 9099-C) On December 5, 2025, between 10:00 AM and 11:10 AM, the Department interviewed staff members identified as Staff #1 through Staff #3 (S1-S3). Three (3) out of the three (3) could not support this claim. On November 28, 2025, emergency medical personnel were dispatched, and those present confirmed that (R1) received the appropriate immediate medical attention. (S1) reported to the EMS that on November 25, 2025, during (S1's) duty shift, (R1's) condition appeared normal. However, (S2) and (S3) noted that (R1) had decreased appetite the following day, was not eating much, and had no bowel activity for 2 days, prompting them to notify the home health service. The staff monitored (R1's) intake and output, encouraged fluid intake and mobility, and implemented a clyster for bowl activity. Additionally, vital signs were taken daily, and the staff communicated (R1's) condition to the home health provider. Upon learning of (R1's) situation on November 28, 2025, (S3) immediately contacted (R1's) home health provider and family representative. (S3) stressed the urgency of the situation by instructing the facility to call 911 for immediate emergency assistance. On December 05, 2025, between 10:50 AM and 11:30 AM, the Department interviewed resident members identified as Resident #2 and Resident #3 (R2 and R3). Two (2) out of the two (2) resident members were unable to support this claim. (R2-R3) the staff are attentive and responsive in seeking medical assistance when there’s a change in condition for a resident in care. Residents #4 (R4) and #5 (R5) were unable to participate in an interview at this time due to their health conditions. On December 05, 2025, between 12:30 PM and 01:38 PM, the Department interviewed witness members identified as Witness #1 through Witness #4 (W1-W4). Four (4) out of the Four (4) witnesses were unable to validate this claim. (W1-W2) emphasized that the facility staff promptly and effectively secured immediate emergency assistance for (R1). (W2) stated that (R1) was not hospitalized because of negligence, but due to an undetected terminal illness. (W3-W4) affirmed that the staff is exceptionally trained and well-prepared to respond swiftly to any changes in a resident’s condition, ensuring that both medical professionals and family representatives are promptly informed. Resident #1 (R1) was unable to participate in the interview because (R1) passed away before the investigation. (Evaluation Report continues LIC 9099-C) The Department reviewed (R1’s) service files which included Admissions Agreement, Medical Assessment, Consent Forms, Weight Record, Identification and Emergency Information, Appraisal & Needs Service Plan, Immunization Record, TB Test, Centrally Stored Medication, Safeguards for Property Valuables, and Personal Rights and Physician Orders for Life-Sustaining Treatment (POLST) all to be completed and in order. Further review of (R1’s) Medical Assessment for Residential Care Facilities (LIC 602A dated: July 14, 2025), the Appraisal/Needs and Services Plan (LIC 625 dated September 18, 2025), Medication Administration Record (dated October 1, 2025), Incident Report (LIC 624 dated December 5, 2025), Vitals Log (dated Oct 1, 2025 – November 28, 2025) and the Physician Orders for Life-Sustaining Treatment (dated December 28, 2020). Based on the information gathered, there is insufficient evidence to support the allegation mentioned above. Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegations. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are Unsubstantiated. An exit interview was conducted with Ruby Vidad, and copies of the reports were provided.the state’s words, verbatim · CDSS document, Dec 11, 2025 · control 11-AS-20251203105132

Type of visit: Required - 1 Year

On 12/04/25 Licensing Program Analyst (LPA) Villegas conducted an unannounced required annual visit using the CARE Inspection Tools. LPA met with staff Ruby Vidad as the purpose of the visit was explained. The facility is licensed for (6) 60-year-old or older non-ambulatory adult residents; 2 may be bedridden in bedroom #2. There is an approved hospice waiver for 6. Facility fees are current, liability insurance active (09/24/26). The facility is a one story home that consists of (4) resident bedrooms, (3) resident bathrooms, living room, dining room, kitchen, pantry room, office area, attached garage with washer and dryer/ storage area, and a backyard with table and chairs. All rooms were inspected, beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. LPA observed that facility had required postings. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to residents. The water temperature properly measured between 105-120 F.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to residents, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards. LPA conducted a records review of 4 staff records, 3 client records, and 3 medication administration records. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 09/12/25, 1 fire extinguisher fully charged, carbon monoxide and smoke detectors are interconnected and operational. Exit interview conducted, appeal rights explained, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 4, 2025

Type of visit: Required - 1 Year

On October 25, 2024, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced required annual visit using the CARE Inspection Tools. LPAs met with staff Jennifer Cortez and explained the purpose of this visit. The Licensee back up administrator Efrelyn Atencio subsequently arrived to assist with the visit. The facility is licensed for (6) 60-year-old or older non-ambulatory adult clients; 2 may be bedridden. Currently, there are (6) non-ambulatory residents residing in the facility. Structure The facility is a one story residential home consists of (4) resident bedrooms, (3) resident bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Physical Plant LPA and facility staff Jennifer Cortez toured the facility inside and outside. LPA observed There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. LPA observed that facility had required postings: Facility license, personal rights, ombudsman information poster, facility sketch, exit signs, infectious disease postings,menu, and nutrition information. Page 1 of 3 Bedrooms LPA inspected all (4) bedrooms--2 shared, and 2 private. All bedrooms were observed to have the required furniture including beds, dressers, night stands with lamps, chairs, and ample storage space for personal belongings. All bedrooms were observed to be clean, in good repair, and have ample lighting. Bathrooms LPA inspected the facility bathrooms. In the resident’s bathroom the toilet, faucets, and shower were fully operational. All safety handrails were securely fastened. LPA observed the showers to be clean and free of mold or mildew. The shower had a nonskid material in bottom and shower chair. Resident’s toiletries are secured in hall closet, and incontinent supplied store in resident's closet. The water temperature measured 110.2 degrees Fahrenheit. The toilet and faucets are operational. All bathrooms were observed to be clean, in good repair and within Title 22 regulations. Linens & Hygiene LPA observed all beds to have the required linens including mattress cover, fitted sheets, blanket, comforter, and pillow. LPA observed an ample supply of linens, towels, and blankets in hall closet. Kitchen LPA inspected the kitchen and observed all appliances to be in good working repair, including stove/oven, microwave, dishwasher, washer, dryer, refrigerator, and additional freezer. LPA observed an ample supply of cutlery, pots, pans, and bowls to be in good repair. LPA observed knives and additional sharps to be secured in locked drawers in the kitchen and are inaccessible to residents. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable foods. The washer and dryer are located in detached garage. Page 2 of 3 Common Rooms In the living room, LPA observed 4 recliners and a mounted TV. The dinning area dining contained a 4 seated dinning table, a ceiling fan and an area with hand sanitizer. Safety LPA observed and tested smoke detectors (6) and (3) carbon monoxide detectors to be fully operable. LPA observed ( 1 ) fully charged fire extinguisher mounted on the wall in kitchen area. The last emergency drill was conducted on 8/3/2024 LPA inspected the First Aid kit and found it contained an ample supply of required items: Scissors, tweezers, guaze, disinfectant wipes, band aids. LPA observed all exits to be clear and easily accessible. All toxins locked. Medications LPA observed all centrally stored medications in their original packaging and are secured in a locked closet that is inaccessible to Residents in care. Files LPA reviewed ( 6 ) resident files and found the contained all the necessary documentation. LPA reviewed (4) staff files and found they contained the required documentation, certification, and training. Infection Control During the visit, LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the facility entrance. PPE supplies are readily available to staff. There were no deficiencies cited during today’s visit. An exit interview was conducted with Efrelyn Atencio, back up administrator and a copy of this report was provided. Page 3 of 3the state’s words, verbatim · CDSS document, Oct 25, 2024