Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno conducted a subsequent unannounced visit to this facility to continue investigation of complaint numbers: 18-AS-20200724130142 AND 18-AS-20200723084004. LPA met with Licensee John Zhang.

During today's visit, LPA reviewed pertinent records and interviewed residents and staff. While interviewing Resident 1 (R1) who requested for a fresh brief, LPA observed that R1 was wearing two briefs. Staff interview stated that R1 received a stool softener and may have an irregular bowel movement. LPA reviewed R1 medication administration record (MAR) and found that R1 is receiving a scheduled laxative and there is no record of a PRN (as needed) stool softener administered today. LPA reviewed R1 records and found incomplete physician's reports.

This pose a potential health and safety risk to residents in care. Refer to LIC 809D for deficiency cited. A technical advisory is being issued regarding managing incontinent residents. An exit interview was conducted where this report, LIC809-D, and appeal rights were discussed with and provided to Licensee.