Facility Evaluation Report
Capacity6
Date signed11/24/2021 03:29:13 PM
Licensing Program Analyst (LPA) Stephanie Cifuentes initiated a Case Management - Deficiencies visit to document deficiencies observed annual inspection. LPA met with Naumati Iosefo-Lead Caregiver and the purpose of the visit was explained.
On 11/24/2021 LPA Cifuentes noted that medications for Resident 1 (R1) had not been administered as prescribed by doctor.
Title 22 Division 6 Chapter 1 Article 6 is being cited, please see LIC809D.
An exit interview was conducted and a plan of correction was developed. A copy of this report and appeals rights were provided to Naumati Iosefo-Lead Caregiver.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction