Facility Evaluation Report

On 05/03/2024 at 3:30PM, Licensing Program Analyst (LPA) Lori Alexander conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 04/04/2024. LPA met with Administrator, Lourdes Angel and explained the purpose of the visit.

LPA L. Alexander interviewed, Administrator, Lourdes Angel, for further details with the incident that took place with R1 on 04/04/2024. Lourdes stated that on 04/04/2024 she discovered that R1 did not receive their injection for diagnosis Osteoporosis (M81.0). Lourdes stated that the discovery came when she was preparing for the IHCP meeting which is a treament meeting and that she confirmed with staff (nurses) that all clients' had their due treatment. Lourdes stated that all the notes were available except for R1 was missing the notes. Lourdes stated that she called the clinic and that the clinic advised that R1 did not receive injection which was, Prolia 60mg, which is given every 6 months due to R1 not getting their labs completed first. Lourdes stated that labs are done prior to the injection to see if the patient's calcium levels are at the required range in order to receive this type of injection for osteoporosis. LPA reviewed R1's Physician's Report which was signed and dated by physician on 02/11/2024. LPA reviewed that R1's last Prolia injection was 06/02/23 per Camino Solano Home Consultation Communication Note prior to the missed appointment. LPA reviewed that R1 had current Prolia injection on 04/18/2024.