Facility Evaluation Report

LPA Hiratsuka conducted this unannounced annual visit.

LPA toured the facility with Caregiver Normita Subala. The facility has locked cabinets for medications and cleaning chemicals. Each room has an exit to the outside. There is an ample supply of perishable and nonperishable food. Staff have the required training.

The following was observed during today's visit:

-The front door has a latch that connects the frame to the front door and has a key to lock the latch. This is not allowed because it is not part of the door knob. This prevents residents from going out the front door.

-The front and back door has a latch that is not part of the original lock on the door. The latch is attached to the door frame and is pushed up and the over to cover part of the door and pushed down preventing people from getting out.

-the front door audio alert was turned off. This is required when having residents who have wandering behaviors

-two of the three resident records have a diagnosis of dementia and their physician's reports are over 12 months old. Per Title 22 regulations someone with a diagnosis of dementia shall have an updated physician's report every 12 months.

Today, LPA advised Caregiver that medications shall be prepared each time they are required to be given. Prepouring medication is not allowed