Facility Evaluation Report
Licensing Program Analyst (LPA) Katie Brown arived unannounced to conduct a Case Management visit. LPA met with and explained the reason for the visit with Administrator (AD) Rob Huntley and Assistant Director of Nursing (ADON) Gaberiel Facio, LVN.
The facility submitted Special Incident Reports (SIRs) which resulted in medication errors.
On 9/29/24, Resident (R1) was given the wrong medication (another resident's medication).
On 10/1/24, Resident (R2) was also given another resident's medication. R2 later experienced a fall and was evaluated at the hospital.
A deficiency is being cited in accordance with California Code of Regulations on the attached LIC 9099-D in the area of Incidental Medical and Dental Care.
An exit interview was conducted and Plan of Correction was developed. A copy of this report and Appeal Rights were discussed and left with AD, whose signature on this form confirms receipt of these documents.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction