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Inspection visit

Follow-up on corrections

VALERIO RCFELicense 1958502875 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced case management visit due to the deficiencies noted on a visit to the facility today. The visit was conducted with Michael Custodio, back up Administrator. The following deficiencies were noted during file and medication review: the facility uses an Medication Administration Record (MAR)to record medication dispensed. Per review of the medication logs, August 7 through August 11 were observed to be blank and needs updating the facility does not have physicians orders on file for all the centrally stored medications All residents have PRN medications and the facility does not have PRN Authorization Letters on file to indicate whether the residents are able to make their own decision or if the doctor needs to be contacted prior to assisting the residents with the PRN medications. The facility manages P & I money for Resident #2, Resident #5 and Resident #6. As of today's visit, the facility does not have a clear accounting of what the P & I balance is for each resident. Per interview with Michael, Lorna Montemayor was not given training in dispensing medications. Any deficiencies not cited on today's visit will be cited on a return visit. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, APPEALS RIGHTS were discussed

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.69(a)(2)Type A

    Employees assisting residents with self-administration of medication; training requirements: a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets the following training requirements ) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete six hours of initial training. This training shall consist of two hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and four hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. Lorna Montemayor has not been provided with any medication training.

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  • 87217(g)Type B

    Safeguards for Resident Cash, Personal Property, and Valuables:Each licensee shall maintain adequate safeguards and accurate records of cash resources and valuables entrusted to his care, including, but not limited to the following: Records of residents' cash resources maintainedas a drawing account shall include a ledger accounting (columns for income, disbursements and balance) for each resident, and supporting receipts filed in chronological order. Each accounting shall be kept current. Facility records are unclear as to the P &I balances for R2, R5 & R6.

  • 87465(a)(6)Type B

    Maintain records of centrally stored medication dosages

    Incidental Medical and Dental Care: A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. LPA observed that the MAR logs for August 2023 were not completed from 8/7/23-8/11/23. Per staff, medications were dispensed.

  • 87465(c)(1)Type B

    Require physician-written PRN medication directions

    Incidental Medical and Dental Care: If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident if following conditions are met: (1) There is written direction from a physician, on a prescription blank, specifying the name of the resident, the name of the medication, all of the information in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication when the physician should be contacted for a medication reevaluation. All residents are prescribed PRNs and no PRN authorization letters were on file. This poses a danger to residents in care

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  • 87465(e)Type B

    Require physician order and label for PRN medication

    Incidental Dental and Medical Care -For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. 1)The specific symptoms which indicate the need for the use of the medication.(2) The exact dosage.(3) The minimum number of hours between doses.(4)The maximum number of doses allowed in each 24-hour period. The facility does not have any physician's orders on file

FAQ · About this visit

Common questions about this visit

What happened during the August 11, 2023 inspection of VALERIO RCFE?

This was an other inspection of VALERIO RCFE on August 11, 2023. 5 citations were issued: 1 Type A (serious) and 4 Type B.

Were any citations issued to VALERIO RCFE on August 11, 2023?

Yes, 5 citations were issued (1 Type A, 4 Type B). The first citation was for: "Employees assisting residents with self-administration of medication; training requirements: a) Each residential care fa..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.