Facility Evaluation Report

Licensing Program Analyst, Amber Coleman, (LPA) arrived at Kalia Home, Adult Residential Facility unannounced to conduct a case management visit. This case management visit is in response to an Incident Report, (IR) submitted to the Community Care Licensing Office by the Inland Regional Center on 12/1/2023. LPA was greeted and granted entry into the facility by Direct Support Provider, Abraham Castro, (S1) LPA introduced self and stated purpose of the visit. S1 contacted the Administrator, Fernando Melendez. LPA spoke with Administrator over the phone and stated the purpose of the visit.

During today's visit LPA conducted a walk through of the facility, staff and resident interviews and collected pertinent documents. According to the IR, on 11/29/23 R1 asked staff for a cup of water. Staff advised R1 to get water from the kitchen. Instead, R1 went into the staff office, took the staff keys from a hook on the wall, then used the keys to access the centrally located medications. Accessed her own medications and took 18 doses of such. Staff and resident interviews revealed consistent statements. The facility staff office door was shut, but door left unlocked; giving residents access to the centrally stored medications. According the Administrator, the facility held a staff meeting on the following date and made changes to improve its protocol for securing the centrally medications. An In-Service Training is scheduled for 12/8/23 to further address the matter. Additional training will be provided to the staff members present and involved during the incident. During walk through, LPA made no observations of imminent health, safety or hazardous concerns inside the facility.

Based on observations and interviews made during today's visit, one, (1) deficiency will be cited per Title 22, Division 6, of the California Code of Regulations. Please see LIC809-D

An exit interview was conducted where this report was reviewed, discussed and then provided to the facility representative.