Follow-up on corrections·March 11, 2025

Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to open a complaint investigation. During the course of that investigation, LPA Campbell discovered other deficiencies unrelated to the complaint allegations, which will be addressed in this case management report. LPA Campbell met with Caregiver, Chyl-c Anaviso and Emilie Carno, Caregiver and explained the purpose of the visit. LPA Campbell conducted a review of resident Medication Administration Records (MAR) and observed that Staff 1(S1) had not initialed the form for medication dispersal for five days in a row. Per regulation 87465(a), the facility is to establish 'a plan for incidental medical care' to 'encourage routine medical and dental care.' LPA Campbell observed missing staff initials for Resident 2 (R2) and R3 for five days from March 6 to March 11. When questioned, S1 admitted that they had not filled out the form as required in the plan established by the facility and they reported that they had been tired and busy with a resident. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiency is being cited on the attached 809-D during this visit. An exit interview was conducted, and copies of the report and appeal rights left.