Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos conducted an unannounced Case Management-Deficiencies inspection visit at the facility today due to deficiencies observed during the investigation of complaint control # 29-NP-20220222171126.

At 11:45 a.m. the LPA conducted a medication audit. The LPA audited medications for two out of three residents. Resident #1 (R1), Resident #2 (R2) had prescription medications and PRN medications; however, medication documentation log was inaccurate. The LPA observed that on the medication notes, staff indicated inaccurately medication prescription RX numbers, medication expiration dates, and issued dates did not match with the medications on hand. The LPA had a discussion with the Administrator addressing the Centrally Stored Medication Log and its requirements to be current and updated anytime medication enters the facility. The facility plans to have a full medication audit completed by their local pharmacy within the next three weeks.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiencies were observed and cited during the visit (See 809-D). Exit interview conducted, today's reports and appeal rights were reviewed and issued via email.