Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived at this facility unannounced to conduct interviews in relation to open complaint #21-AS-20260212082027. LPA greeted by caregiver. Lisa DiBartolo, Assistant Administrator (AA) arrived later. Licensee notified of LPA visit by AA.

Upon entering facility, LPA observed medication room window to be open and unlocked; no staff present in medication room. Keys to medication room door left unattended and accessible to residents in care. Additionally, prescription Thick-It for resident (R1) was in kitchen window accessible through kitchen window, accessible to residents in care ( deficiency cited, see 809D ) . LPA discussed with AA importance of keeping medications inaccessible to residents and keeping keys to medication room inaccessible to residents in care.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with AA and a copy of this report was given.