Facility Evaluation Report

On 10/28/22 at 3:15pm Licensing Program Analyst (LPA) Kevin Gould conducted a Case Management Deficiencies inspection to address documentation of resident's medication administration records (MAR).

LPA met with Administrator and together discussed LPA's concerns.

Upon reviewing Resident MARs, LPA observed that Resident's MARs were not completed in a timely manner and LPA observed missing documentation for medications on 10/26/22, 10/27/22 and 10/28/22. LPA and Administrator discussed the importance of documenting medication administered in a timely manner and the potential dangers of not documenting medications administered to residents in a timely manner.

The following deficiency is cited per California Code of Regulations, TITLE 22.

Exit interview was conducted with the licensee. Appeal Rights were issued, and a copy of this report was left at the home.