Facility Evaluation Report

On 10/10/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a case management visit. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator and Program Supervisor, Mark Davis.

The purpose of today's visit is to follow up on an incident that was reported to the Fresno CCL office on 10/01/2024. It was reported that on 09/28/2024 and 09/29/2024, C1 missed a medication due to the facility administering the last medication on 09/27/2024. Interviews conducted with Administrator, Shannon Sayson and Program Supervsior, Mark Davis revealed the following: On 09/10/2024, the pharmacy contacted Administrator and the Administrator was informed that the pharmacy will be submitting an alternative medication request to the physician. Administrator followed up with the pharmacy on 09/25/2024. Administrator was informed that the physician had not responded to the request, due to the physician office being closed. On 09/27/2024, Program Supervisor went to the physician office and observed that the office was closed. On 09/30/2024, Program Supervisor returned to the physician office and obtained an emergency supply of the medication.

No deficiency issued during today's inspection.

During the exit interview, LPA discussed that a deficiency will not be issued due to a miscommunication/error with the physician and pharmacy. LPA requested the facility to develop an emergency plan to be proactive in the future to ensure that this incident does not occur in the future and that the facility will ensure that all clients will receive their medications as prescribed.

A copy of this report was discussed and provided to Administrator, Shannon Sayson, whose signature on this form confirms receipt of this document.