Facility Evaluation Report

Licensing Program Analyst LPA conducted a Case Management to follow up on an incident report. LPA was met by Staff Diana Diaz and discussed the purpose of the visit. Licensee Jason Johnson responded to the facility to assist with the case management.

LPA reviewed records showing that R1 did not receive medication for 3 days due to medication going missing from facility. Facility filed a police report regarding the missing medication and conducted an internal investigation.

Deficiencies are being cited based on LPA's observation, interviews conducted, and record review in accordance with the CCR Title 22. See LIC 809D.

An exit interview was conducted with House Manager Diana Diaz and Licensee Jason Johnson a copy of this report with Plans of Corrections and appeal rights was provided to Licensee Jason Johnson.