Facility Evaluation Report

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit regarding a facility action report from Alta California Regional Center (ACRC). LPA Moleski met with administrator Luz Mina and explained the purpose of the visit.

ACRC's facility action report stated that on May 4, 2023, ACRC representatives observed a dose of medication left in a bubble pack for R1 for May 3, 2023, but the R1's MARs were signed off as if there had been a dose given to the resident.

Mina told LPA Moleski that a pill had gotten stuck in the bubble pack and that the staff member signed off on the MARs. Mina said the pill has since been destroyed.

ACRC's facility action report also stated that R2's PRN authorization letter showed the resident is unable to determine their need for PRN or communicate their symptoms. According to the report, Mina told ACRC representatives that she had not been contacting the resident's doctor prior to giving PRN medications.

LPA Moleski reviewed the resident's PRN authorization letter, which stated that the resident cannot determine their own need for prescription or nonprescription PRN, and cannot communicate their symptoms or a need for nonprescription medication. A line on the letter states "must contact physician before each dose." This line had been crossed out in pen.

Mina told LPA Moleski that she had not been contacting the doctor before giving the PRN medication.

This facility is being cited per 22 CCR 80075(b) and 80075(b)(6)(A). An exit interview was conducted with Mina. Appeal rights and a copy of this report were left with Mina.