Facility Evaluation Report

Unannounced case management visit made out to this facility on 10/17/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the Business Office Director, Asha Prasad, who was briefly interviewed at this time.

The purpose of this case management visit was to follow up on the quarterly visits that were required since the last one that was conducted took place on 07/25/2024.

The following items were required to be monitored and maintained in compliance at all times:

Staffing Concerns : Job Fairs will be conducted and continuous hiring.

Medication Errors: A medication error was reported to Community Care Licensing Department (CCLD) by the facility.

Medication Audit: A medication audit was completed on July 18, 2024.

Reporting Requirements: The Department has received incident reports from the facility.

Medication Training : June 12, 2024 and July 15, 2024.

Facility Policies Regarding: Assessments, Monitoring of residents, Change in condition, Medication errors. Polices provided to CCLD.

This case management visit was conducted in conjunction with the required annual visit. All deficiencies were addressed and cited on the annual LIC 809-D. Appeal rights were also printed and given to the facility representative at this time. Exit Interview