Senior Care Records.

Facility Evaluation Report

Mendo House, Ukiah11/01/2022Licence 236803625

Capacity4
Census4
Date signed11/01/2022 10:37:22 AM
The inspector’s account

At approximately 8:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct a case management visit in regards to an unusual incident report submitted to CCL on 10/31/2022. LPA met with Administrator Brandon Hire and reviewed records. The incident was in regards to a medication error. Staff did not assist with a clients morning medication on 10/28/2022. Administrator Brandon Hire scheduled retraining for S1 and training was conducted 11/01/2022. Facility contacted all relevant parties per regulation.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Brandon Hire and Appeal rights were given.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction