Facility Evaluation Report
On this day at around 1:40 pm, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct a case management visit in regards to a self-reported fall incident. LPA met with Administrator Jonnasburg Carbonel.
During the visit, LPA reviewed incident report, hospital discharge and Medication Administration Record (MAR). LPA interviewed Client 1 (C1). LPA observed C1 takes Motrin for pain on as needed basis. However, the facility does not have any order from C1's doctor. LPA also inspected the bathroom where C1 fell and observed rugs that are non skid.
Deficiencies are cited per Title 22 California Code of Regulations(see Lic 809D).
Exit interview was conducted with Administrator and Appeal Rights was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction