Facility Evaluation Report

On 9/14/23 at 9:22 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual Continuation visit at Ivy Park Cerritos. Upon arrival LPA was greeted by Executive Director Laura Rodriguez. This home is licensed to serve (163) non-Ambulatory residents ages 60 and over, with a hospice waiver for 10. The last emergency disaster/fire drill was conducted on 8/23/23. The Administrator Certificate expired on 3/4/2021 #6051234740. LPA observed that the administrator certificate is processing and is currently on the pending list. During today's visit LPA reviewed (5) staff files, (13) resident files, medications, and medication administration records for (13) residents.

LPA inspected the medications and observed PRN medications for resident R1 through R5 was missing. Med staff stated they will review all resident’s medication and discontinue or reorder the medication.

· R1 is missing Diphenoxylate, Diclofenac, Lidocaine, and Loperamide.

· R2 is missing I Prat- Albuterol and Novolin R 100.

· R3 is missing Alprazolam and Milk of magnesia.

· R4 is missing Hydrocodone with Acetaminophen

· R5 is Missing Acetaminophen 500, Bisacodyl, Geri-Lanta, and Robafen

The following Deficiencies were cited on the LIC809D. Exit interview conducted with Laura Rodriguez, Executive director a copy of this report was provided, and Appeal rights given.