Facility Evaluation Report

Licensing Program Analyst(s) Mary Flores and Jewel Baptiste conducted a case management - annual continuation visit with focus on Incidental Medical and Dental, Residents Records/Incident Reports. LPAs met with Virginia Garcia - Administrator and explained the reason for the visit.

During today's visit LPAs reviewed medication and resident files for residents #1(R1), #2(R2) , #3(R3), #4(R4), #5(R5), #6(R6), #(7(R7), #8(R8), #9(R9), #10(R10), #11(R11), #12(R12). LPAs observed non prescription medication (PRN) for R3,R4,R8,R11 did not have label.

Per Title 22 Regulations deficiencies were cited today under section 8 chapter 6 and noted on LIC 809D.

Exit interview conducted with Virginia Garcia administrator and a copy of the report, LIC 809D, and appeal rights were provided.