Facility Evaluation Report

On July 07, 2026, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced case management visit to the facility following an incident reported by the facility that occurred on June 21, 2026. During the visit, the LPA met with Ace Huynh, Executive Director, to explain the purpose of the visit.

The El Segundo Regional Office Adult and Senior Care received an Unusual Incident Report (LIC 624) on June 27, 2026, stating that Resident #1 (R1) had been given the incorrect medication. On June 21, 2026, at approximately 5 PM, the medication technician mistakenly administered in error to (R1) Buspirone, Hydrocodone, Metformin, and Metoprolol to (R1) in error.

The Department found that the facility was not in compliance with Title 22 Regulations and issued citations as follows:

87465(c)(2) Incidental Medical and Dental Care Services. The investigation revealed that the facility failed to comply with Title 22 regulations. The LPA reviewed (R1’s) Physician's Report (LIC 602A) (dated 12/27/24), Appraisal/Needs and Services Plan LIC 625 (dated 06/13/26), and Medication List (dated 07/08/26), which identified that (R1) needs assistance with medication administration and Buspirone, Hydrocodone, Metformin, and Metoprolol are not prescribed by (R1's) physician.

Based on interviews, observations, and record reviews, the licensee was found in violation of the California Code Regulations (CCR) of Title 22, Division 6, Chapter 8.

Deficiencies have been issued, and an exit interview was conducted with Ace Huynh, Executive Director. A copy of this report is provided, along with the appeal rights.