Senior Care Records.

Facility Evaluation Report

Peer Home 2, Elk Grove02/07/2023Licence 347005345

Capacity4
Census4
Date signed02/07/2023 04:16:59 PM
The inspector’s account

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct a case management visit. LPA met with newly appointed Administrator Monica Butay, and explained the purpose of the visit.

On 01/13/23, Alta Regional Center Liaison, Jazmin K., made an unannounced visit. During the visit, it was discovered that Resident 1 (R1) had a medication prescribed; however, there was no start date noted in the Centrally Stored Log. Based on records review and observation, a total of 8 pills should have been administered. According to an interview with Administrator Monica, their records show that the resident did receive those 8 pills.

The facility was cited for 80075(k)(3) on 01/06/2023. Due to a repeat violation, a civil penalty in the amount of $1000.00 will be assessed on today's visit.

Deficiencies are being cited today on LIC 809 - D. Appeal rights provided. Failure to correct deficiencies may result in civil penalties. An exit interview was held with facility staff, and a copy of the report was provided to Administrator Monica.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction