Facility Evaluation Report

On 05/13/2025 at 8;15am, the Department conducted an unannounced Case Management Deficiencies visit. During at 8:30 AM, the Department met with Catherine Dacara (Assistant Administrator) and explain the purpose of the visit.

On 04/03/2026, upon the Department issuing a Technical Violation for 87465(a)(4) with a due date of 04/17/2026, the Department also requested that the facility submit employee training records from hire date to present by the end of the week of 04/03/2026 in relation to Complaint Control #11-AS-20251104162513. On 04/17/2026 at 5:55 PM, the Department received an email from the facility’s Assistant Administrator containing a PDF attachment titled Allegiance Valley Pharmacy Audited and Reviewed Medication Management Program Training dated 04/15/2026. On 05/11/2026 at 8:00am via email and on 05/13/2026 at 8:30am in person, the Department requested for staff training records from hire date to present related to Complaint Control #11-AS-20251104162513. The facility did not provide the requested documentation until 12:00 PM. Upon review, the training records submitted reflected training years 2021–2026, but did not include training records from previous employers for staff listed on the LIC 811, as requested

As a result, according to the California Code of Regulations (Title 22, Division 6, Chapter 8) the facility did not comply with Title 22, Section 87412(f)(1) , which states: All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. The facility failed to make provide personnel training records upon request in a timely manner

An exit interview was conducted with Assistant Administrator Catherine Dacara. A copy of this report with appeal right were provided.