Facility Evaluation Report

Licensing Program Analyst (LPA) Kesha Lewis arrived at the facility unannounced to conduct a case management visit for an indent that occurred on 05/08/2023. LPA was greeted by Executive Director and explained the reason for the visit.

LPA reviewed R1'S file and took copies of the Physician's Report (602), hospital discharge orders email to R1's Physician, fax to the Physician and the needs and service plan.

R1 bought the medication on a shopping trip with facility staff (S1). the medication (Advil) bottle had a total of forty (40) pills when staff found R1 there was 28 of 40 pills left in the bottle R1 was holding 4 pills in their hand. The 4 pills are included in the 28. R1 told facility staff that they took 6 pills two (2) days later. Staff can't conform when pills were taken. Per R1's

LPA interviewed Executive Director about the incident. It was conformed during interview that the medication was bought on a shopping trip with facility staff.

Per California Code of Regulations, Title 22 deficiencies were observed or cited during today's case management inspection. See 809D page.

An exit interview was conducted and a copy of this report was given .