Facility Evaluation Report
On 08/27/2025 at 4:30 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a case management visit in regards to incident reports received to Community Care Licensing Division (CCLD) on 01/02/2025. LPA met with Assistant Executive Director, Deborah Bradley and Interim Executive Director, Ricardo Romero and informed the reason for visit.
CCLD received on 01/02/25 an Unusual Incident Report (UIR) with an incident occuring on 12/01/24. The report indicated that on 12/01/24 at 8:33pm it was observed that R1 was assisted with the wrong medication by the Med Tech. The writer of the report further stated that R1's primary care physician was informed and advised.
On 08/27/2025 LPA interviewed S1 and S2 both stated that they did not see any notes on the occurrences and what was the Plan of Correction for the med error. S1 and S2 stated that the Med Tech that administered the medication no longer works at the facility.
The deficiencies were 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