Routine inspection (multi-day)·August 9, 2023

On 08/09/2023, Licensing Program Analysts Walton and Flores arrived unannounced to conduct a case management - annual continuation inspection. LPAs introduced themselves, stated the purpose of the visit and were granted entry to the facility. Facility staff contacted Administrator, Luz Newell-Parangalan, who arrived a short time later. During today's visit LPAs reviewed resident medications and personnel records. Upon entry to the facility, LPAs observed medication, that had been pre-poured into a dispensing cup, placed on the table near a R1. The medication was meant for R2. Per facility staff, R2 "was on the way" to the dining table. Review of medication revealed that the facility has been administering over-the-counter medication to residents in care. Administrator was unable to provide a physician's order prescribing the medications to residents. Review of personnel files revealed that staff have not received annual training. Deficiencies are being cited 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, Luz Newell-Parangalan, whose signature on this form confirms receipt of these documents. LPAs are requesting the following documents be submitted to the Fresno CCL office by 08/23/2023: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E ) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond**