Facility Evaluation Report

On 06/14/2022 at 9:30 AM Licensed Program Analysts (LPA) T. White arrived unannounced to conduct a case management visit regarding incident report submitted to CCLD on 03/31/2022. LPA met with Administrator, Umer "Ali" Qureshi and explained the purpose of the visit.

Based on incident report, staff noticed a bump on Client #1 (C1) buttocks region after C1 got out the shower. House manager and Administrator were notified. C1 was taken to the emergency room and diagnosed with a pressure ulcer and prescribed antibiotics.

Based on documentation, Home Health Nurse arrived on 04/05/2022 to assess C1's wound and diagnosed wound as a stage 2 ulcer. Based on report, Home Health agency will send a nurse for the first 14 days to clean and treat C1's wound with the proper dressing and 3 times a week thereafter once wound is showing signs of closing. LPA observed C1's written plan of care to ensure wound does not advance and Individual Program Plan (IPP) Addendum. Based on Administrator, C1's wound is now closed based on verbal confirmation from Nurse on 06/03/2022. Administrator stated he will request nurse notes and submit to CCLD once received.

Per the California Code of Regulations, Title 22, Division 6, Chapter 6, no violations were observed.

Exit interview conducted with Administrator, copy of report given.