Facility Evaluation Report
Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced Case Management visit regarding deficiencies noted during a complaint investigation for complaint # 28-AS-20250820121118 conducted on 08/21/2025. LPA met with Administrator Iren Creighton and the purpose of the visit was discussed.
On 08/21/2025, LPA reviewed resident medications and Medication Administration Records (MAR) and these records revealed that staff are not properly documenting the MAR as signatures were missing for 4 out of 14 medications for R1 and when LPA questioned staff, S3 stated that the medications have been administered they just sometimes forget to sign the MAR.
This did not meet the requirement per Title 22 regulations- 87506(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Based upon this observation and record review, LPA will issue one (1) Type B Deficiency.
Exit interview was conducted. A copy of this report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction