Facility Evaluation Report

While conducting a complaint investigation, LPA followed up on two unusual incident reports submitted to CCL.

Incident 1: C1 left facility without staff knowledge and was found approximately 15 minutes later, walking around the neighborhood. C1 requires constant supervision and is not to be away from the home without assistance. LPA received copies of updated care plan. Facility is working with the regional center to find more appropriate placement for C1.

Incident 2: C2 received a double dose of their evening medication. Staff, S1, did not see that the medication was already given and gave an additional dose. All staff underwent additional medication training. Procedures were updated to ensure medication errors do not occur in the future. This is a repeat violation within a 12 month period. A civil penalty is being issued in the amount of $250.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Amanda Simmons and Appeal rights were given.