Facility Evaluation Report

On 9/24/24 Licensing Program Analysts (LPAs) B. Miranda & R. Bruce arrived at the facility unannounced to conduct a case management visit regarding a medication error. LPAs introduced themselves and explained the reason for the visit. Staff allowed LPAs into the facility and Administrator was contacted and arrived shortly after.

Missed medication was logged and destroyed at the facility for R1. Destruction log was completed correctly.

Records show S1 last received medication training by DSP on 8/26/2022. S1's last training was over a year old. Staff should have training from a licensed professional, and reviewed by licensed professional annually.

Deficiency found with staff training and citation issued.

Exit interview conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Administrator Wendy Adler.