Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced case management visit in regards to an incident report the department received on May 20, 2024. LPA met with Administrator (ADM) Administrator (ADM) Hellen Ferrer and explained the purpose of the visit.

On May 20, 2024, the department received an incident report stating resident R1 handed a container of medications to his/her day program staff. A facility staff member went to the day program to investigate and retrieve the pills. The incident report states, the medications were in fact, R1's medications. Furthermore, the incident report states that the ADM conducted an investigation on regarding is incident and the staff who is assigned to help with medications at night was suspended for 3 days without pay.

On May 20, 2024, LPA Partoza interviewed ADM. ADM stated the staff gives the medication in a cup and give it to R1. ADM stated R1 usually eats in his/her room and the staff give the medication to him/her in the cup and R1 states he/she will take it, and the staff believe R1. ADM stated this usually happens at bed time at 7:00pm.

On July 3, 2024, LPA Monter interviewed ADM. ADM stated R1 likes to take his/her medication in his/her room. ADM stated the staff would give R1 his/her medication, but would not watch R1 take his/her medication.

Based on a review of R1's physicians report, dated May 14, 2024, R1 can not administer and store his/her own medications.

Based on a review of R1's IPP, dated November 10, 2021, "R1 needs assistance to take medications as prescribed."

Deficiencies are being cited during today's visit. This report was reviewed with Administrator Hellen Ferrer and a copy of the signed report was provided. Appeal Rights were provided.