Facility Evaluation Report

On 7/15/2025 at 11:10am, Licensing Program Analyst (LPA) L. Hall and conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 7/11/2025. LPA met with Erma "Julie" Dual, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Mary Asilum, via telephone.

The incident reported occurred on 7/5/2025. The report stated on 7/5/2025, S2 administered 150mg dosage of medication instead of 75mg. S1 stated that S2 was not supposed to administer the medication. S2 stated that R1's responsible party was notified. S1 stated R1 was observed during the day but there were no changes. S4 stated S2 was terminated. S2 also stated there was an in-service training for all staff.

LPA requested a copy the in-service training to be submitted to CCLD by close of business today.

Exit interview conducted and a copy of this report provided.