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32 | Continued from Lic809
Starting At 11:20 AM, LPA reviewed 2 of 2 staff records. At 12:12 PM, LPA reviewed 5 of 5 residents' record. At 1:15 PM, LPA attempted to review a sample of 5 of 5 residents' medications, however, residents MAR was not filled out for the year of 2023 and LPA was not able to verify residents' medication.
The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties.
At 11:30AM, LPA observed S1 with no CPR training.
At 11:40AM, LPA observed S2 with no First aid and CPR training in his file.
At 1:10PM, LPA observed no MAR created for R1, R2, R3, R4, AND R5 for the year of 2023.
Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 4/5/2023:
· LIC 308 Designation of Administrative Responsibility
· LIC 500 Personnel Report
· LIC 610E Emergency Disaster Plan (9 Pages)
· Liability Insurance
Exit interview conducted with Licensee, and a copy of this report provided along with appeal rights. |