Facility Evaluation Report

Licensing Program Analysts (LPA) Kerry Hiratsuka and Bethany Mirlohi, conducted this case management visit. LPAs reviewed staff and resident files.

LPA Hiratsuka also conducted a walk through.

LPA Mirlohi conducted a file review for 3 of 3 residents in care. LPA observed R1 and R2 had an outdated needs and service plan and it had not been updated yearly. In addition, LPA reviewed 3 of 3 resident medications comparing with resident's physician orders. LPA observed R1, R2, and R3 had medications orders however several medications were missing and unavailable to residents. LPA observed R3 had medication orders for glucose testing and insulin injections. Administrator stated caregiver performs the glucose testing and resident performs her own insulin injections. R3's LIC602, Physician's Report states resident is unable to perform glucose testing and insulin injections.

LPA Hiratsuka conducted a file review for four of four staff. One licensee is registered nurse and the other is a licensed vocation nurse. The training for the two remaining staff was done in November 2023 and is continuing.

Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code. Failure to correct shall result in civil penalties. appeal rights left