Facility Evaluation Report

On 5/10/2024 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Administrator, Olive Neri and explained the purpose of the visit.

During visit, LPA reviewed 6 residents' files and 4 staff files. LPA observed resident's files and staff files were complete. Staff have current first aid and CPR training. LPA observed staff completed training which includes dementia, medication, and other topics. LPA reviewed residents' P&I money with log. LPA observed facility has a surety bond and last fire drill was conducted on 3/20/2024.

LPA reviewed resident's medications at around 1:00PM. LPA interviewed 2 residents and 3 staff starting at 2:30PM.

At around 2:00PM, LPA observed R6 has a doctor's order for Melatonin 3mg daily. However, facility has a bottle of Melatonin 5mg. LPA was informed by staff that R6 was last given Melatonin in March 2024 and R6 is not currently taking Melatonin. There was no D/C (discontinue) order for R6's Melatonin.

The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights were provided.