Facility Evaluation Report

Licensing Program Analysts (LPAs) Victoria Bertozzi and Helena Rummonds arrived unannounced to conduct a Case Management Annual Continuation inspection and met with Licensee/ Administrator, Darian Hall.

LPAs returned to continue inspection that was initiated on 09/01/2023.

Upon arrival, LPAs conducted a file and medication review. Three client files and one staff file was reviewed. Reviewed staff does not have required First Aid certificate. Files for all other staff were unavailable.

Licensee does not have an active Administrator Certificate though they are listed as the Administrator. Per discussion with Licensee, the acting Administrator is Darcy Harlan. Administrator Certificate for Darcy Harlan 6059139735 has expired but is on the Department's pending list.

One of three clients did not have a completed Centrally Stored Medication Log so LPAs were unable to audit their medication. Two of three clients did not have an accurate number of medication doses and the dates on the Centrally Stored Medication appeared to be inaccurate with some having a start date prior to the fill date.

Fire extinguishers were last serviced June 2021. LPAs reminded Licensee that fire extinguishers are to be serviced annually.

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.