Facility Evaluation Report

Licensing Program Analyst ( LPA ) Talwinder Bains conducted a case management visit to this facility on 04/23/24. LPA met with Administrator Norman Barrios and explained the purpose of today's visit.

The purpose of today's visit is to follow up Title 17 reviews conducted at this facility by Alta California Regional Center (ACRC) on 03/28/24. 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 in both Title 17 and Title 22. The visit today is to address the issues found in the FAR that apply to Title 22.

Based on the FAR report, the facility violated the following Title 22 violations:

1. It was observed by ACRC staff that Mucus DX in community PRN container however, the medication was not prescribed to a specific client. It was reported that facility staff utilized medication. Also observed in PRN supply was Allergy Relief (diphenhydramine + antihistamine) and Antacid that were both opened but there was no start date. It was unknown as to which client. PRNs ZzzQuil & Multi-symptom Cold & Flu relief were both opened with a start date on bottles of 1/23/24 however PRN Administration Log that start date for the medications was on 1/21/24.

2. PRN authorization letters for client #2 had order for PRN medication of Neosporin. It was reported by staff that Neosporin was in PRN supply but was destroyed due to it being expired however, there is no record of destruction on file.