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25 | On December 28, 2020, Licensing Program Analyst (LPA) Ashley Boothe conducted an unannounced case management visit via Microsoft Teams at 9am with Executive Director Martha Estalano.
Line list was reviewed, no updates or incidents reported. ED is awaiting LHD’s recommendation for return to work instructions, Martha stated she will provide update to LPA. LPA observed Medication’s Room and Staff one stated MAR’s for January were delivered 12/24/2020. LPA reviewed three medications against Centrally Stored Log, December MAR and January MAR. One discrepancy noted for Resident one on December MAR, one medication was printed twice with 10mg and 100mg, incorrect dosage crossed out, and corrected for January MAR. LPA observed daily Audit records for 12/25/2020, 12/26/2020, 12/27/2020. LPA observed medication audit process for Resident two and Resident three were accurate counted and recorded for 12/28/2020 daily audit. LPA observed one PRN against MAR and physical's orders to be accuratly recorded and administered.
Martha stated the revised Dementia Plan will be sent to the RO by 1/5/2020.
Plan of corrections from 12/24/2020 is pending submission by close of business today, Martha stated they are working on it.
No deficiencies were observed and given pursuant to Title 22 rules and regulations, Health and Safety Codes. An exit interview was conducted with Martha. A copy of this report was provided to Martha via email, due to COVID-19 precautionary measures, with a "read receipt" to verify the LIC 809 was received. Martha is print out the report and fax a signed copy to LPA at 916-263-4744 or email to LPA at ashley.boothe@dss.ca.gov. |