Facility Evaluation Report

On 12/11/2024 at 2:00pm, Licensing Program Analyst (LPA) Michael Bilger arrived at facility unannounced to conduct a case management regarding medication training requirements. LPA met with staff3 (S3) and explained the purpose of the visit. Program Director (PD) Tanya Monge was present via phone with LPA. LPA conducted record reviews of staff2 (S2) and S3 and conducted interview with Program Director as part of an investigation regarding complaint # 27-AS-20241107081417. Based on interviews and record reviews, it was revealed that S2 and S3 have assisted clients with medication, however, evidence of medication training does not exist as required per Section 82065(f)(4). A review of S2 and S3 staffing records did not reveal related experience in medication assistance. It was determined through investigation related to complaint #27-AS-20241107081417 that various clients in care did not receive medication as ordered and S2 and S3 assigned to assist clients with medication were unaware of physician orders in place for these medications.

As a result of today’s case management, citation is issued under Title 22, Division 6. An exit interview was conducted with Program Director via phone and a copy of this report was provided. PD gave permission for S3 to sign this report. Appeal rights provided.