Correction check·August 25, 2023

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of conducting a plan of correction visit and follow up on self-incident report and met with Licensee, Angelita Aquino. LPA is following up regarding deficiencies cited during the July 20, 2023 Annual Required inspection. The following deficiencies have been corrected: 87303 (a) - Bathroom s used by residents located in wing "A" ceiling in the bathtub area was repaired, the bathtub was cleaned including curtain was replaced . 87465(h)(5) - Medication is no longer being pre-poured. 87465(h)(6) - Centrally Stored Medication Log is maintained. 1569.625 (b)(2) - staff have complete 20 additional hours training requirements. LPA is following up on self-incident report filed by the facility Administrator to CCL on 8/8/23. Per incident report, On 8/3/23 around 9:15pm resident (R1) was found by staff on the floor with blood on their nose. Staff called 911 immediately to transport R1 to the hospital for further evaluation. Responsible parties were notified. R1 was discharged the same day with a diagnosis of closed fracture of their nasal bone. During today's visit, LPA reviewed R1's records, Physician's Report (LIC602) and discharge documents dated 8/3/23 indicating that R1 sustained a fracture with no follow up appointment. Based on Physician's report (LIC602) dated 7/22/22 R1 is ambulatory, has a history of falls, and they are able to perform all daily activities independently. No deficiencies cited during today's inspection. Exit interview conducted with Licensee and a copy of this report was given.