Facility Evaluation Report

On 10/07/24 Licensing Program Analysts (LPAs) Debbie Palacios, Armando Perez, and Javina George made an unannounced case management deficiencies visit to the facility.

During today's visit the following deficiencies were observed:

Food supply: While checking the food supply the expired food (2) cans of split peas, cream of wheat, (3) packages spaghetti noodles, pasta, and a can of biscuits. A total of 13 items in total, some of them are expired back in December 2023.

Reporting requirements: LPAs were informed of an incident that occurred on or around 9/21/24 of a verbal altercation that was had between staff and a client that resulted in law enforcement having to respond to the facility and the staff being terminated. The department did not receive an incident report regarding the incident.

Medication: The medications were observed to be locked and inaccessible to clients in care. While taking a tour of the facility LPA George observed for there to be dispensed medication (1 oval capsule) found on the bedroom floor.

Administrator Martin agreed to bring an updated LIC9020-Client roster, LIC500-Personnel report and Personal and Inventory (P&I) to the upcoming office meeting.

An exit interview was conducted and a copy of this report, appeal rights, LIC9098--proof of corrections form was provided to Caregiver Kathleen Davis.