Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 07/22/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator/ Licensee Minerva Sansano arrived during the visit.

Deficiency cited under Title 22 Regulation 87465(h)(2) pertaining to Centrally Stored Medications has been cleared. Facility has discontinued pre-pouring medications and LPA observed medications in their original containers. Licensee has complied with the POC.

Advisory note given 07/22/2024 indicated the following:

Facility was checking blood pressure for medication administration. Facility has discontinued the practice.

Exit gate appears broken. Facility has repaired gate.

One out of six residents was missing an updated physician report. Facility has obtained updated physician report.

Facility has been advised to remain in compliance with all items cited.

Exit interview conducted and a copy of this report was left at the facility.