Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator (ADM) Fatemeh Kaykha. The purpose of the visit was to follow up with a incident that was reported by the facility involving a resident who grabbed and consumed another resident's medications from the dinner table while staff were distributing medications.

During visit, LPA Marrufo interviewed staff S1 and S2 and ADM. S1 and S2 stated that they have been trained by ADM to have one staff distribute medications while another staff observes and supervises the residents.

ADM stated that she has trained the staff to have one staff distribute medications while another observes and supervises the residents in order to ensure that an incident of a resident taking another residents medications does not occur again.

ADM stated she will submit training records of training conducted to address the incident to CCL by 03/27/2023.

No deficiencies were cited at this time as per California Code of Regulations Title 22.

This report was reviewed with ADM and a copy of the report was provided.