Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management – deficiencies visit based on violations observed during the complaint investigation for control number 26-AS-20240520083627. LPA met with Administrator, Audrey Ann Salvador.

During the complaint investigation, it was found that staff are not trained on handling resident (R1)’s inhalation assistive device. Based on review of R1’s restricted health condition care plan, it states that staff training should be kept up to date and reviewed / completed annually. It is also stated that care plan actions [use of the inhalation assistive device] can only be performed by trained staff.

The Administrator stated that the facility staff are in the process of obtaining annual training on R1’s restricted health condition care plan / inhalation assistive device. The Administrator was unable to provide the annual training documentation for staff who are handling R1’s inhalation assistive device.

The Administrator was unable to produce documentation to show that R1’s doctor was notified of R1’s change of condition on 05/12/2024 and 05/13/2024.

Deficiencies was cited per California Code of regulations, Title 22. See LIC809-D.

This report was reviewed with Administrator, Audrey Ann Salvador and a copy of the report and appeal rights were provided.