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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002486
Report Date: 07/07/2021
Date Signed: 07/07/2021 12:28:13 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:VETERANS HOME OF CALIFORNIA-REDDINGFACILITY NUMBER:
455002486
ADMINISTRATOR:EISZELE, PAMELAFACILITY TYPE:
740
ADDRESS:3400 KNIGHTON ROADTELEPHONE:
(530) 224-3300
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:93CENSUS: DATE:
07/07/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:PAMALA EISZELETIME COMPLETED:
12:40 PM
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Donna Gurriere, Licensing Program Analyst (LPA) arrived at the facility unannounced to conduct a case management visit. LPA Gurriere met with Pamela Eiszele, Administrator and advised of the purpose of the inspection.

LPA Gurriere completed the required COVID-19 testing protocols, and a daily self- screening questionnaire for symptoms of COVID 19 infection to affirm no COVID-19 related symptoms. The administrator was contacted to complete a facility risk assessment. LPA Gurriere ensured that hand sanitizer was applied before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask. Additionally, LPA was screened by the receptionist upon entering the facility.

During the month of June 2021, it was reported that a resident’s (Resident 1) medications were not accurate. The purpose of this visit is to review a resident’s medications and ensure that the facility is following the physician’s medication orders for the resident.

The resident was interviewed and advised that in March 2021 his physician lowered a dosage amount of a medication that he was taking. The resident has requested that the administrator talk to his physician to see if the medication can be increased to assist with a side effect that he is experiencing. The administrator has agreed to speak with the resident's physician to ask if the physician can re-review the resident's medication. The facility staff are currently following the physician's orders of the prescribed medication. During today's visit the administrator scheduled a visit for the resident to see his physician.

An exit interview was conducted, and a copy of the report was given to the administrator.
SUPERVISOR'S NAME: Rayna L BrysonTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Donna GurriereTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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