Facility Evaluation Report
On 12/28/23 Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Talwinder Bains arrived at the facility unannounced to conduct a case management visit. LPAs met with the Administrator, Thelma Delacruz and explained the purpose of the visit.
The purpose of today's visit is to follow up on the Title 17 review conducted at this facility by Alta California Regional Center (ACRC) on 12/07/23. Facility Action Report (FAR) was generated by ACRC from the Title 17 reviews. Community Care Licensing Division (CCLD) received a copy of the FAR and it was noted in the FAR the facility was cited for violations that are for Title 17. The visit today is to address the issues found in the FAR that apply to Title 22.
LPAs and administrator discussed the importance of reporting any reportable incidents to CCLD. Administrator stated that during medication audit on 12/07/23 by ALTA staff, it was found out that facility was not documenting PRN medications in the Centrally Stored log as required. LPAs and administrator discussed the importance of logging in all PRN medications in the Centrally Stored log per Title 22 regulation. Administrator stated that facility is already working on plan of correction issued by ALTA and will train staff for medication administration per Title 22.
No citations were issued today, however Technical Advisory has been issued.
Exit interview conducted and copy of report was left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction