Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Annual Continuation Visit to the facility to continue the annual inspection visit initiated on 12/06/2024. The LPA was greeted by Administrator Nicole Lomeli and informed them of the reason for the visit.

Today the LPA conducted a medication audit and finished the record review initiated on 12/06/2024.

Record Review: The LPA reviewed five (5) staff files. All documents reviewed appeared complete and current.

Medications: A medication review was initiated and the following was observed. The medications were stored in Med carts, which are locked and inaccessible to the clients inside the medication room. During Client' #1 (C#1's) audit, the LPA observed the prescription number for three (3) medications not documented, and the quantity number for two (2) medications not properly documented as they did do not match the facilities records.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report and appeal rights provided.