Facility Evaluation Report

Licensing Program Analysts Hiratsuka and Mikkelson, conducted this unannounced case management visit in response to Alta California Regional Center issuing a Facility Action Report (FAR) on September 23, 2024.

On September 23, 2024, the Regional Center reviewed the medications for the facility.

The Regional Center issued the FAR for medication dosage discrepancies that LPAs cannot confirm during this visit because the medications have been used up and there are no containers for LPAs to review from that time frame.

The Regional Center issued a FAR because the facility has PRN medication release forms but did not have the dosages, medication names, frequency, and maximum dosage within a 24 hour time frame. Title 22 Regulations does not require PRN authorization forms to be that specific unless the resident cannot self determine but can communicate symptoms clearly or is unable to determine their need for the PRN medication. Review of the resident files shows one resident can communicate their symptoms but not ask for the medication and there were no parameters for the medication as required to Title 22 regulations. This is a violation. The facility has since updated the letters to meet Title 22 Regulations.

The Regional Center issued a FAR because the facility did have a centrally stored medication and destruction log since 2020. This is also a violation of Title 22 regulations. Title 22 Regulations require the log to be maintained for one year at a time. The facility has since started the centrally stored medication and destruction log.

Deficiencies 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. Appeal rights were provided.