Facility Evaluation Report
On 4/19/22 at approximately 2:55pm, Licensing Program Analysts (LPAs) C. Lin and K. Nguyen arrived an unannounced case management visit regarding the self-report incident report dated on 3/29/22 for medicine error to resident. LPAs met with LVN Joseph Gapasin and explained the purpose of visit.
Based on observation, interview and record review, LPAs observed that resident did miss two doses of medicine on 3/27/22 and 3/28/22, however, resident has no change in health condition because of it. LVN admitted that training has not been provided to staff after the incident occurred.
The deficiencies were observed and indicated in LIC 809D, and cited from the California Code of Regulations. Failure to correct deficiencies by POC date may result in additional Civil Penalties.
Exit interview conducted with LVN. LIC809D, Appeal Rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction