Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara conducted an unannounced case management visit due to deficiencies noted during today's complaint investigation visit (complaint control number 29-AS-20231226134000). Upon arrival there were two caregivers present. LPA spoke with administrator Floro Cortes Jr. over the phone. He was out of the area and could not meet with LPA. LPA explained the allegations and reason for the visit. The administrator authorized the facility manager Marcial San Juan to sign the report. The facility manager arrived at the facility at 2:30 p.m.

During today's visit, LPA interviewed the facility manager regarding Client 2 (C2) not taking their medication. The facility manager confirmed that C2 will take the medications, put them in their mouth but sometimes will spit them out without staff's knowledge but then later staff will find medications under C2's bed, floating in the toilet or outside by the trees. Last night, 12/26/2023, the facility manager recalled C2 put the medications in their mouth and then got up and went to the bathroom to "throw up". The facility manager observed C2 spit out the medications into the toilet.

The facility manager stated they have notified C2's caseworker on multiple occasions and even sent photos of the medications they have found. It is his understanding the caseworker is trying to locate a higher level care facility for C2. The facility manager stated they write down in a log book when they are aware C2 has spit out their medications and he notifies the administrator but he does not know if the administrator reported these incidents to CCL. There is no record of these incidents being reported to CCL as required.

Per California Code of Regulations (CCR), Title 22, see LIC 809-D for deficiencies cited. Exit interview conducted. A copy of the report was issued, along with appeal rights.