Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra conducted an unannounced case management visit to cite deficiencies discovered during a complaint investigation and met with Administrator, Charito Santos.

LPA learned through records review and interviews conducted on 4/28/22 with Administrator that facility is not following doctor’s order for two (R1 and R2) out of four residents who doesn’t have a doctor’s prescription to smoke marijuana. Only one (R1) out two residents that have a doctor’s prescription on file, it was determined to be capable of handling their own medications. Per Administrator, they are aware that residents that have a doctor’s order on file keep in their personal possession the drug prescribed. However, marijuana is a prescribed drug and still needs to be centrally stored/locked and inaccessible to other residents in care. On 5/5/22 LPA Willis and LPM Moellers conducted a tele-visit office visit with Administrator and staff (S1) and additional staff were observed not wearing a face covering while in the premises as indicated in their current Mitigation Plan dated 1/14/21 after one or more residents in the facility were diagnosed with a communicable disease.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties