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25 | Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced case management visit. LPA was granted entry into the facility by Robin Mendez, Director of Health Services, with whom she disclosed the purpose of the visit.
Today’s visit was in response to an incident which licensee self reported via an LIC624 Incident Report received at the Community Care Licensing Regional Office on November 26, 2024. The report described Resident #1 (R1 – See LIC811 Confidential Names List for identification), was sent out to the hospital and returned with no injuries and antibiotics added to R1's medication list. R1 had another fall and was sent out with a return on the same day with no new orders. The facility followed the fall protocol, the service plans have been up date.
LPA briefly toured the facility, performed a welfare check on residents in care, interviewed staff, and obtained copies of pertinent facility records. No deficiencies were observed or cited on this date.
An exit interview was conducted, and a copy of this report and Licensee Rights LIC 9058 (03/22) were left with the Robin Mendez, whose signature on this form confirms receipt of these documents. |