Facility Evaluation Report

On 10/4/22 at 9:00 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a case management - deficiency inspection. LPA explained reason for inspection and was granted entry. LPA met with Co-Administrator (ADM) Joan Aquino.

During record review for complaint #24-AS-20220927174248, LPA found that R1 did not have a complete medical assessment. The medical assessment on file was missing the primary diagnosis, secondary diagnosis (if any), prior medical services/history, indication of whether medication should be centrally stored, identification of physical limitations, ambulatory status, and was not signed by a physician, or any information applicable to the pre-admission appraisal.

R1 was admitted to the facility on 10/12/21. ADM advised the medical assessment on file was given by Kern Regional Center as a part of the placement into the facility. ADM stated the facility waits one year before obtaining another medical assessment.

A deficiency is being cited based on LPA interview conducted and record review in accordance with the California Code of Regulations, Title 22, see LIC809D.

Exit interview conducted and a Plan of Correction was developed and reviewed with Co-Administrator Joan Aquino. A copy of this report and appeal rights were given to Co-Administrator Joan Aquino, whose signature confirms receipt of this report.