Facility Evaluation Report

09/04/2024 at approximately 10:50am, Licensing Program Analysts (LPA) Loera and Felias arrived unannounced to continue an Annual Required inspection that was initiated on 08/27/2024, and was greeted by staff. Program Director, Jade Dolcini arrived shortly after.

LPAs conducted spot medication count and found 2 of 4 to be properly recorded on the Centrally Stored Medication log. Based on records LPAs observed current medication was documented, however older medication was not documented. LPAs were informed by Program Director that facility has electronic files for clients and staff.

At approximately 11:30 am, LPAs conducted a review of five(5) client records. All records had the required documentation.

At approximately 12:30 pm, LPA conducted review of five (5) staff records/training. Upon a review of records, LPAs found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. However, Program Director was unable to access health screenings for review.

Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit:

Designation of Facility Responsibility (LIC308)

Exit interview conducted. Copy of report, LIC9102 (Technical Advisory/Violation) discussed and provided to Program Director . Signature on form confirms receipt of documents.