Facility Evaluation Report

Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 09/06/2022. LPA De Perio explained reason for visit and was greeted and granted entry by staff on duty, who contacted facility administrator (AD) Rizalina Reyes about visit. AD Reyes was unable to be present during time of visit, but provided consent for Lead Caregiver (CG) Emelyn Read to receive and sign report.

For today's visit, LPA De Perio verified that there are currently 4 residents in care and 2 staff members present.

On 9/6/22, LPA De Perio observed that facility failed to keep the centrally stored medication in a safe and locked place that is not accessible to residents in care, other than employees responsible for the supervision of centrally stored medication. LPA observed resident 1 (R1) having possession of tubes of prescribed ointment that is used orally and topically. LPA De Perio reviewed R1’s files, which did not indicate or specify that R1 was able to have possession of any prescribed items. LPA also observed an open bottle of Milk of Magnesia Suspension in the kitchen.

*Deficiency cited under Title 22 Regulation 87365(h)(2) pertaining to Incidental Medical and Dental Care has been CLEARED. Licensee has provided staff with training on 9/12/22 on this regulation and LPA De Perio observed that facility has secured medications in a location that is inaccessible to residents in care.