101174(d) · Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months.

Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. Director stated they have not conducted a fire/safety drill in more than 6 months which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101170(e)(1) · Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or

Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. Staff MARGARET FISET has been working since 1999, her clearance is "in process" status and does not have complete clearance. Director was unaware of this and does not have access to Guardian system. Staff will get Live Scan done again today.Civil penalty of $100 is assessed for 1 day. This poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/18/2023

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.