Facility Evaluation Report

Licensee Program Analyst (LPA) Alberto Lopez made an unannounced visit to follow up Regional Center recommendations from May 2, 2024. LPA met with Elid Duran, Supervisor and discussed the purpose of the visit. Administrator Yanira Rivas arrived a short time later and assisted with the visit.

LPA observed the following during the visit today:

1) Medication Error that occurred on 05/02/2024. Staff signed off on medication without giving it.

Facility complied with recommendation that included sending an incident report and providing training to all staff. All staff received additional training on Medication Administration on May 9, 2024. Follow- up training was also provided on 10/19/2024 LPA obtained copies of certificates for all staff.

2) Reporting requirements. Staff did not report medication error until it

LPA obtained copies of training sign in sheet conducted on 05/24/2024

3) Physical Environment: Recommendations.

a) Paint client's closet door by near the floor.

d) Remove the lockable doorknob of the half door near the kitchen area,

LPA observed as completed. (continued on 809C)