Facility Evaluation Report

On 7/31/2025 LPA Tryon visited the facility to do case management visit. The purpose of the visit was to follow up on a facility Title 17 Inspection conducted by Alta California Regional Center July 15, 2025.

Alta workers had issued a Facility Action Report. There were two major areas that were included in the FAR:

LPA reviewed personnel files with Ms. Green. At this time, the facility has been able to obtain the majority of forms that were noted in the report; and in the case of one staff, the staff has been taken off the schedule until documentation is obtained. In reviewing files, LPA ascertained that all documents are present at this time with the exception of an updated TB clearance for staff Marcella Green. The Administrator will follow through with obtaining this documentation. Alta staff had noted that the TB Clearance/Health Screening was missing for licensee. However, in reviewing the facility records, It was found that Ms. Green did have a Health Screening/TB clearance from the original application for the license, which meets the requirement.

Regarding Medications, it was noted that a Medication Transfer Sheet for resident R1 was dated for November; but the resident actually went on a family visit in December. LPA learned that the family had dated the form for November, when the visit was actually in December.

There was disagreement between forms regarding a medication for R1. This was an issue of resident wanting the medication at night, when the prescription was written for morning. The home had asked the pharmacy to change the time. It had changed, but somehow got changed back, causing the appearance of an issue with dosing.

There was also noted to be a "transfer sheet" missing for a visit in July; LPA noted that it had been signed and dated.