Facility Evaluation Report
On 01/17/24, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct a case management visit based on a self reported incident dated 01/16/24. LPA was greeted by Staff S1, who contacted Asst Administrator, Yadira Gamez. LPA stated the purpose of the visit and was allowed entry into the facility.
LPA met with Asst. Admin, District Manager (DM) Jose Marquez, and Quality Assurance Specialist, Erinique Jones. As of 01/12/24, Tara Allen is no longer the Administrator.
On 12/29/23, a self reported incident was received for Resident R1 stating the NOC staff observed the PM medication was missed. Pharmacy was contacted and facility staff continued to monitor R1 for 48 observation hours. R1 declined the option for medical treatment. No adverse reaction was observed.
On 01/15/24, DM requested an audit be conducted for P&I records for all resident, as there were discrepancies in the ledgers. Audit confirmed that resident's P&I money for 3 out of 4 residents in care, will need to be replaced. Licensee is reimbursing money to all residents affected upon completion of comprehensive audit. DM will provide LPA with audit findings by POC date of 02/23/24.
Based on today’s visit, and per California Code of Regulations, Title 22, deficiencies are being cited on the attached 809D.
An exit interview was conducted with District Manager and Quality Assurance Specialist. A plan of correction was developed by and reviewed with LPA. A copy of this report and appeal rights were discussed and provided by email 01/23/24.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction