Facility Evaluation Report
On 03/05/2026 at 12:50 PM Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to conduct a Case Management. LPA met with David Clawson, Administrator.
While LPA J. Clancy-Czuleger conducted a complaint investigation (15-AS-20260227093249) on 03/05/2026, LPA observed in Resident 1's(R1) Medication Administration Record (MAR) that for the medication Ginko Bilboba it would switch between Resident Refused Medication and Medication unavailable. S2 could not confirm if R1 was out of the medication or was refusing it during that time period.
The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies 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