Facility Evaluation Report

Licensing Program Analyst (LPA) S Vaid conducted an unannounced case management visit to ascertain information noted on semi -annual residential visit conducted by the Eastern Los Angeles Regional Center on 04/29/24, regarding medication dispensation. LPA met with and interviewed Concepcion Pacania, DSP(Direct Staff Person) who was advised of the visit.

During the visit LPA reviewed clients medications and MAR(Medication Administration Record) no deficiencies were noted. An error occurred with R1 while they were out with their family. Family of R1 had dropped the medication and had informed the facility of the misplaced medication. The facility immediately notified the physician and reordered the medication before R1 return to the facility.

A tour of the physical plant was conducted. The following deficiencies were corrected: Living room sliding screen was replaced. The facility has had the interior repainted, broken blinds were replaced. Disaster plan outlining actions taken during emergency and safety drills conducted monthly were reviewed. The food is ordered weekly as needed, LPA observed food requirements normal.

Therefore, deficiency will be issued for the physical environment. Per Title 22 Regulations, the deficiencies are cited on 809D.

Exit interview was conducted and copy of report and appeals was left at facility.