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25 | Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection to follow up on several incident reports (SIR) recently received. LPA met with Jowella Chico, Administrator, and Maria Rope Chico, DSP. There were (5) clients present and (1) client returned from day program. The facility is a level 4-I home for clients with a specific diagnosis. (5) total staff were present.
LPA and the Administrator discussed how client (C1) walked off the property on 5/9/24 (12:05 pm), after staff opened the gate to allow a home health staff to drive in. Staff immediately followed (C1) and sat down next to her when she stopped and continued to follow (C1) until a second staff arrived shortly. (C1) agreed to return to the facility in one of the staff's car and quickly forgot about the incident. (C1's) family was notified along with the Regional Center. A follow up appointment was scheduled for end of this month to discuss the incident with a mental health professional. (C1) has a history of trying to leave the facility, unattended, and was issued a citation in October 2023. Facility staff were following the plan of always having eyes on (C1) and trying to redirect her back to the community. LPA spoke to (C1) and reminded her of needed safety measures when leaving the facility and needing a staff person to go with her. LPA obtained a copy of (C1's) care plan, Individual Program Plan and will review the facility's Plan of Operation.
LPA and the Administrator discussed how client (C2) went to the emergency room on 5/5/24 (7:45 pm), 5/8/24 and on 5/9/24 for having stomach pains related to constipation, even after being given a PRN. (C2) returned on the morning of 5/6/24. All tests returned as normal. On 5/8/24 (6:00 pm), (C2) complained of stomach pains due to not being able to urinate. (C2) returned on 5/9/24 (8:40 am). (C2) complained of pain again around 2:30 pm and did not take any PRN medication or try the new medication. (C2) returned on 5/11/24 (12:00 pm) and said she was feeling better. The Administrator scheduled a follow up appointment with the urologist next week and with the Gastroenterologist in July. The Administrator spoke to physicians at the ER regarding the new medication, started on 5/12/24, and the Administrator spoke with the GI physician on 5/13/24 to confirm the medication was started. (C2) is tolerating the medication well and it seems to be effective. (C2) has a history of expressing pain related to GI and it's been an ongoing concern.
There are no deficiencies being issued. Exit interview. Copy of report provided. |