Facility Evaluation Report

On 04/03/2025 at 9:10 am, the Department conducted an unannounced case management incident visit.

The department met with Catherine Dacara (Administrator) and Ace Huynh (Executive Director) and explained the purpose of the visit.

On 03/20/2026 at 3:58 pm., On Duty Office of the Day LPA Gibbs received a telephone call from Administrator Catherine Dacara, who reported that medications were missing from the facility’s medication room and noted a Medtech is suspected of involvement. LPA Gibbs requested that an incident report be faxed to the Department. The department received the LIC 624 Unusual Incident/Injury Report (dated 03/13/2026) on March 20, 2026 at 10:05pm.

On 04/03/2026 between the hours of 9:25am - 9:30am, the Department reviewed a copy of the LIC 624 Unusual Incident/Injury Report (dated 03/13/2026) which states the following at around 2:16pm, the Staff 1 (S1) who is a LVN received a text message from Staff 2 (S2) who is a medtech mentioned PRN Oxycodone is missing for Resident 1 (R1). When S1 spoke with Staff 3 (S3) who is also a medtech from the previous shift, mentioned to S1 that medicine was placed in the NARC box. R1 was informed along with Welbe Pace.

On 04/03/2026 between the hours of 10:45am - 11:41am, the department conducted a medication review for 7 residents & observed the following: the department did not discover any missing medication.

Due to insufficient information available at this time, the case management incidents needs further investigation. An exit interview was conducted with Catherine Dacara (Administrator) and a copy of this report with a technical violation was provided.