Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola and Licensing Program Manger (LPM) Joel Esquivel conducted an informal office meeting virtually with Administrator, Roland Corpuz on 5/31/2023 at 9:00 a.m. The meeting was accorded to discuss the following points:

Deficiency cited by LPA Arreola on 5/30/2023 concerning Resident #1 (R1) at the facility, and the use of restraints.

Fall prevention training for administrator and staff

Dementia care training for administrator and staff

Unlocked medication observed in facility common areas

Removal of inoperable facility refrigerator

Transferring of medication to other containers

Not giving medication as prescribed to (R1) and Resident #2 (R2)

Administrator increasing hours present at the facility to 20 hours per week.

These items were discussed with the administrator, where they agreed to have the items corrected by June 6,2023 and present corrections to LPA. Citations were recorded on LIC809-D page along with plans of correction.

The administrator agreed to contact the licensee, as both the LPA and LPM were unable to gain contact for the informal meeting. The administrator agreed to inform the LPA by June 1, 2023 availability for June 2,2023.

An exit interview was conducted where plans of correction for these issues were reviewed and discussed with Administrator, Roland Corpuz. The report was sent to Rolando Corpuz via email for signature.