Routine inspection (multi-day)·August 24, 2023

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Annual Continuation Visit to the facility to continue the annual inspection visit initiated on 07/24/2023. The LPA was greeted by staff Bertha Trejo and informed them of the reason for the visit. Administrator Mike Trejo arrived shortly. Today the LPA conducted a medications Audit. Medication audit: A medication audit was initiated at 1:30 p.m. and the following was observed. The medications were stored in a kitchen cabinet, which was locked and inaccessible to the clients. During Resident #1 (R#1's) audit, the LPA observed Sertraline in R1’s medication basket, however the LPA could not verify a current Physician’s order for this medication. The LPA observed seven (7) medications missing that R1’s physician had given an order for. During R#2's audit, the LPA observed Potassium not logged in in the Centrally stored medication and destruction record. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report and appeal rights provided to administrator Mike Trejo.