Facility Evaluation Report

On 07/17/2023 Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct a case management visit. LPA was greeted by Staff member, Mary Gonzalez and explained the purpose of the visit. LPA asked that SM Gonzalez call the Facility Designated Administrator to inform them at CCL was present. Shortly after, LPA met with FDA, Quincy Beltran and explained the purpose of the visit. An interview with FDA Beltran was conducted. Current census was 6. 2 out 6 of the facility. A tour of the facility was conducted. There were two other staff members present, Melissa Daoud and Raquel Bargas.

The purpose of this visit was to follow up on an incident report received by the department on 07/17/2023. The incident report states that there was an emergency interdisciplinary team meeting conducted on 07/14/2023.

LPA reviewed facility files including but not limited to, R1's Individual Program Plan, Emergency contact sheet, Physicians report and daily notes. LPA Pascua conducted resident and staff interviews.

Based on the information gathered today, there are no deficiences being cited during today's visit. LPA Pascua will come at a later time if further follow up is needed.

An exit interview was conducted, a copy of this report was provided to the the facility at end of this visit.