Facility Evaluation Report

Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced plan of correction (POC) visit for deficiencies given during annual visit conducted on 12/6/22. LPA met with Alma Pasion caregiver and explained the reason for the visit.

On 12/6/22 LPA Flores conducted an annual visit and noted the following deficiencies:

Section 87465(h)(1) Incidental Medical and Dental Care Services: On 12/6/22 LPA Flores observe prepared medication in cups was observed under the computer desk, overflow medication was observed in the garage. On 12/12/22 LPA observed medication was under lock in medication cabinet. Deficiency cleared as of 12/12/22.

Section 87608(a)(3) Postural Supports: On 12/6/22 LPA Flores observed residents had bed rails in the sides of their beds and no physician's order were on file for resident #1(R1), #2(R2), #4(R4), and #6(R6). On 12/12/22 LPA observed a physician order for half bed rails for R1, R2,R4,R6. Deficiency cleared as of 12/12/22.

Section 87608(a)(5)(B) Postural Supports: On 12/6/22 LPA Flores observe resident #2(R2)'s bed was observed with full bed rails, R2 is not under hospice care. On 12/12/22 LPA observed R2 has half bed rails and a physician order is in place. Deficiency cleared as of 12/12/22.

Exit interview was conducted with Alma Pasion caregiver and a copy of this report was provided.