Routine inspection (multi-day)·July 25, 2023

On 7/25/23 at 2:20 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced continuation visit to finalize the Annual/Required inspection started on 7/6/23. LPA met with Jessica Bailey, Administrator, and Rachelle Tellez, Administrator, and explained the purpose of the visit. Medications are centrally stored in the locked room upstairs. Medications are properly labeled and checked for expiration dates. A sampling of resident’s medication show they are centrally stored prescription and PRN medication which have been logged in the medications record with proper documentation from the residents’ doctors. Proper medication dispensing instructions are followed and checked for contamination. First Aid has all proper items and is current. Resident records were reviewed for requirements and legibility: LPA reviewed 5 residents’ files for Medical Assessments, Needs and Service plans, Signed Admission Agreements and Pre-appraisals. There were no issues with resident files reviewed. Planned activities are offered to residents in care. Staff records were checked for expired or missing certificates and clearances: LPA conducted a file review of 5 staff for criminal record clearances/associations/and current First Aid. The Administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate. All required training has been completed. Due to technical errors in the CARE Tool during the initial 7/6/23 visit, the deficiencies and civil penalty pages did not print, therefore, LPA is creating the 809-D page and LIC421M Civil Penalty page and providing to the administrator today. Exit interview conducted, deficiencies and civil penalty issued, and report and appeal rights given.