Facility Evaluation Report
On 07/17/2024, Licensing Program Analyst (LPAs) Walton and Leffall arrived unannounced to conduct a case management inspection. LPAs introduced themselves, stated purpose of the visit, and requested to meet with the Administrator. LPAs met with Administrator, Alexis Rutledge.
The purpose of this visit is to follow up on an incident report that was submitted to the Fresno CCL office. It was reported that on 06/28/2024, facility staff placed R1's medication in a medication cup. R1 received the medication cup, took the medication, and placed the medication cup on the top of the refrigerator. On 06/29/2024, facility staff discovered the medication Simvastatin 10mg stuck to the bottom of the medication cup. Record review and interviews confirmed that R1 missed the 06/28/2024 evening medication Simvastatin.
A deficiency is being issued in accordance to California Code of Regulation, Title 22, Division 6 on the attached 808D.
Exit interview conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Administrator, Alexis Rutledge, whose signature on this form confirms receipt of this document.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction