Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced case management visit due to the deficiencies noted on a visit to the facility today. The visit was conducted with Michael Custodio, back up Administrator.

The following deficiencies were noted during file and medication review:

the facility uses an Medication Administration Record (MAR)to record medication dispensed. Per review of the medication logs, August 7 through August 11 were observed to be blank and needs updating

the facility does not have physicians orders on file for all the centrally stored medications

All residents have PRN medications and the facility does not have PRN Authorization Letters on file to indicate whether the residents are able to make their own decision or if the doctor needs to be contacted prior to assisting the residents with the PRN medications.

The facility manages P & I money for Resident #2, Resident #5 and Resident #6. As of today's visit, the facility does not have a clear accounting of what the P & I balance is for each resident.

Per interview with Michael, Lorna Montemayor was not given training in dispensing medications.

Any deficiencies not cited on today's visit will be cited on a return visit.

Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8

Exit interview was conducted, APPEALS RIGHTS were discussed