Facility Evaluation Report
On 12/11/2024 at 2:25PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to incident report received on 11/19/2024. LPA met with Administrator, Karen Sangco and explained the purpose of the visit.
Incident report dated 11/19/2024 revealed that C1's medication (Lasix) was not given on 11/4/2024. Administrator observed C1's medication was still in the bubble pack, but documented as given in the MAR (Medication Administration Records). C1's doctor and family was notified.
During visit, LPA reviewed incident report, MAR, and training log. LPA observed that staff (S1) was given training on medication administration.
The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties.
Exit interview conducted. A copy of this report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction