Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Christina Allen, Overseer, to conduct a case management visit to follow-up regarding observations made during separate inspections conducted on April 21, 2026 and April 22, 2026.

During visit conducted on April 21, 2026, LPA observed medications accessible to the residents located in resident R1 and R2's bedrooms. LPA observed R1's nighttime medications pre-poured in R1's bedroom. LPA observed multiple prescription bottles stored in R2's bedroom. Interview with R2 indicated that they had a week's worth of medications pre-poured for them. LPA observed a week's worth of medications pre-poured stored in R2's bedroom. During today's visit, LPA reviewed records, including four (4) resident records. Per Physician's Report (LIC 602A) dated January 29, 2025, R1 is not "able to store own medications." Per LIC 602A dated December 11, 2025, R2 is not "able to administer own prescription medications," not "able to administer own PRN medications," and not "able to store own medications."

Per interview and observation, R1 self-manages their own glucose testing. Per LIC 602A dated January 29, 2025, R1 is not "able to perform own glucose testing." Per regulation 87628(a) Diabetes, "The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional."