Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a Case Management Inspection and met with Rita Larson (Social Rehab Director).

During today's visit LPA is following up on an incident report received at CCL on 3/11/24 involving Client (C1). Per incident report, on 3/10/24 at around 9:30am (C1) was been assisted with their daily medication at the office when they accidentally dropped a pill on the floor, while trying to pick it up, they dumped the container containing sharp item, scratched themselves on a sharp item. Staff immediately contacted 911, transported C1 to the hospital for further evaluation and testing, where they were given precautionary shots and antibiotics. The facility notified responsible parties including CCL about the incident. During today's visit, LPA was provided with C1's discharge documents where the reason for visit states needle stick with a diagnosis of abrasion of finger and exposure to blood-borne pathogen. Per discharge documents, C1 was tested for a variety of items, given medications and shots to prevent any further incidents. Also, LPA conducted interviews with staff who stated that they used to keep sharp container of used needles under the desk where clients are assisted with their daily medications, but since the incident happened, the facility has implemented a new process to move the container into the medication room and the staff will only bring it out when they need to dispose a needle.

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.

Exit interview conducted with Social Rehabilitation Director and a copy of this report was given.