Senior Care Records.

Facility Evaluation Report

Quail Park at Shannon Ranch, Visalia02/12/2024Licence 547209004

Capacity150
Census102
Date signed02/12/2024 10:13:37 AM
The inspector’s account

On 02/12/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a case management inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Jeff Moyer

The purpose of this visit is to follow up on incident reports submitted to the Fresno CCL office.

It was reported that on 01/09/2024, facility staff administered medication to R1 outside of the parameters set by R1’s physician.

LPA also followed up on an incident that occurred regarding bruising to R2’s arms.

A deficiency is being issued in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D.

Exit interview conducted and a plan of correction was reviewed and developed with Administrator. A copy of this report and appeal rights were discussed and provided to Administrator, Jeff Moyer, whose signature on this form confirms receipt of this document.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction