Facility Evaluation Report

On 6/9/2022 at 4:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Administrator, Divina Fernandez.

While LPA was at the facility for another visit, LPA observed the following deficiency:

At around 2:20PM, LPA observed a staff left medication unattended while residents were walking around. A staff was preparing medications right outside the medication room and left the medication when LPA arrived at the facility. Staff did not lock up medication prior to helping LPA and visitor. LPA observed two residents passing by the unlocked tray of medication when staff was assisting LPA and visitor.

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

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