Facility Evaluation Report

At 01:30am, Licensing Program Analysts (LPAs) Angela Panushkina and Leslie Ngo-Castaneda, conducted a Case Management - Legal/Non-compliance visit and inspection of the facility to ensure facility compliance. LPAs met with the Chief Operation Officer and explained the reason for the visit.

On February 29 th 2024, a Non-Compliance Conference (NCC) was held at the Woodland Hills Regional Office. As a result of that NCC, the facility was placed on a two-year compliance plan.

Today’s focus was Health Related Services, Personal Rights and Plan of Operation (Medication Policy)

At 2:00pm, LPAs conducted a physical plant tour to the medication room and observed that In order to gain entrance/ access into the medication room, the staff had to unlock the door with an electronic keypad door lock that required a six (6) digit code. Upon entry, LPAs observed all medications kept locked in a medication cabinet was inaccessible to clients in care. LPAs also reviewed facility's Plan of Operation and Medication Policy. Lastly, LPAs were informed that all staff completed medication training on 02/07/2024 and 02/08/2024 and copy's of all training were provided.

Exit Interview conducted and copy of this report signed and delivered.