Facility Evaluation Report

On 5/22/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced to the facility to conduct a case management visit to check on the health, and safety of residents in care and to follow up on the SOC 341 received on 05/19/2023. LPA met with Licensee, Erica Graham Bullock and explained the purpose of the visit.

During the visit, LPA toured the inside and outside perimeter of the facility and observed no health and/or safety hazards. LPA interviewed staff, interviewed resident, reviewed resident file, and collected pertinent documents. During the interview LPA was informed resident #2 had refused to take medication for two #2 weeks leading up to the incident that happened on 5/17/2023. LPA asked Licensee, Erica if the resident refusal to take medication was reported to the department, Erica stated no. Also, during resident #2 file review, LPA observed the medication record was incomplete. There was no documentation of the time medication was given. Two citations will be issued.

There for based on the observation made during today’s visit, two #2 citations will be issued per Title 22, Division 6 of the California Code of Regulations. See LIC 809D. An exit interview was conducted, and this reported was provided along with appeal rights to Erica Graham Bullock.