Facility Evaluation Report

Licensing Program Analyst (LPA) Hiratsuka conducted this unannounced visit in response to a California Department of Developmental Service (DDS) inspection on 08/27/2024.

On 08/27/2024, DDS observed the following:

-The facility has an Automated External Defibrillator that was found out of compliance. The report did not specify how the AED was not in compliance. LPA spoke to Administrator Kenneth Agee on the phone during today's visit and was informed the AED was not in compliance because there were no checks for operation. Title 22 requires it to have operation checks and there are none.

-The second issue is a container that stored used syringes and other medical sharps that DDS stated was stuck open. LPA interviewed Administrator on the phone who stated the container was stored in a box in the medication cart and the key to the box on the medication cart was lost and they had to get a new key to get the container out but stated the sharp container was not stuck open. LPA interviewed several staff who stated they were present and stated the sharp container was not open but it was full, but not a hazard. LPA cannot prove or disprove either version of events.

-The third issue involves a resident who is diabetic. There was one incident where the resident's blood sugar was extremely high and the resident refused to take insulin and go to the hospital and instead wanted to walk. The resident asserted their right to refuse insulin and go to the hospital. Eventually the resident did to go the emergency room for the high blood sugar. The licensee has since come up with a plan to address the issue with the resident. LPA suggested to have meetings with the resident to go over the diabetic condition and consequences for not acting on too high or too low blood sugar readings and have several different plans to talk the resident into cooperating.

The following deficiency is cited on LIC 809D and cited from the California Health and Safety Code. Failure to correct the deficiency may result in civil penalties. Exit interview conducted and appeal rights provided.